JODY ALLISON BOLTON SMITH M.D.
NPI 1306846076
Radiology - Diagnostic Radiology in Sartell, MN
About Jody Allison Bolton Smith M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODY ALLISON BOLTON SMITH M.D. (NPI 1306846076) is an individual diagnostic radiology provider in Sartell, Minnesota, licensed in Minnesota (46527) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jody Allison Bolton Smith M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Jody Bolton Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sartell, MN 56377
- Reassigned Medicare billing, Minnesota enrollment
- 41 clinicians in this Medicare group
St Cloud, MN 56301
- Reassigned Medicare billing, Minnesota enrollment
- 35 clinicians in this Medicare group
Saint Cloud, MN 56301
- Reassigned Medicare billing, Minnesota enrollment
- 38 clinicians in this Medicare group
Albany, MN 56307
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1326234006 (Minnesota)
- 205 clinicians in this Medicare group
Garrison, MN 56450
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1942277835 (Minnesota)
- 164 clinicians in this Medicare group
Bertha, MN 56437
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1477545333 (Minnesota)
- 187 clinicians in this Medicare group
Starbuck, MN 56381
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1366543662 (Minnesota)
- 143 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 60
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Cloud Hospital
Acute Care Hospitals · Saint Cloud, MNCentracare Health System - Long Prairie
Critical Access Hospitals · Long Prairie, MNCentracare Health System - Melrose Hospital
Critical Access Hospitals · Melrose, MNCentracare Health Paynesville Hospital
Critical Access Hospitals · Paynesville, MNCuyuna Regional Medical Center
Critical Access Hospitals · Crosby, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SARTELL, MN 56377
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jody Bolton Smith's NPI number?
The NPI number for Jody Bolton Smith is 1306846076. It was assigned to this individual provider in the NPPES registry on July 26, 2005.
Where is Jody Bolton Smith located?
Jody Bolton Smith practices at 1990 Connecticut Ave S, Sartell, MN 56377. The listed phone number is (320) 257-5595.
What is Jody Bolton Smith's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jody Bolton Smith enrolled in Medicare?
Yes. Jody Bolton Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jody Bolton Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jody Bolton Smith reassigns Medicare benefits to 7 organizations: Regional Diagnostic Radiology (Sartell, MN), Simplicity Health PA (St Cloud, MN), Central Imaging LLC (Saint Cloud, MN), Unity Family Healthcare (Albany, MN), Aitkin Community Hospital, Inc. (Garrison, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jody Bolton Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jody Bolton Smith affiliated with any hospitals?
According to CMS data, Jody Bolton Smith is affiliated with St Cloud Hospital, Centracare Health System - Long Prairie, Centracare Health System - Melrose Hospital, Centracare Health Paynesville Hospital and Cuyuna Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jody Bolton Smith was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.