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ALYSSA JOY BOLDUAN
NPI 1336535657
Otolaryngology in Geneva, IL

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
302 RANDALL RD STE 202, GENEVA, IL 60134(630) 938-3900(630) 938-3910 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2022, Nov 12, 2021, Oct 15, 2020 and 3 more (6 updates tracked since 2020).

About Alyssa Joy Bolduan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA JOY BOLDUAN (NPI 1336535657) is an individual otolaryngology provider in Geneva, Illinois, licensed in Illinois (036156561) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1336535657
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameALYSSA JOY BOLDUAN
Location Address302 RANDALL RD STE 202Geneva, IL 60134-4204
Mailing Address302 Randall Rd Ste 202Geneva, IL 60134-4204 · (630) 938-3900
Phone(630) 938-3900
Fax(630) 938-3910
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2015
Enumeration DateApril 13, 2015
Last NPPES UpdateApril 29, 20226 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1336535657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in IL · 036156561✔ Licensed in TN · 60967
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
302 RANDALL RD STE 202, Geneva, IL 60134
Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 The Vanderbilt ClinicNashville, TN 37232-3328 · Phone (615) 322-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Joy Bolduan 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.

PECOS PAC ID8325340516
PECOS Enrollment IDI20210909002786
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services149 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
136 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
98 services81 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
80 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services54 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMANTHA LYNN RENSCH AU.D.
Audiologist
302 RANDALL RD STE 202
GENEVA, IL 60134
Kane County (630) 938-3900
LISA BROWN
Otolaryngology
302 RANDALL RD STE 202
GENEVA, IL 60134
Kane County (630) 938-3900

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 Alyssa Bolduan's NPI number?

The NPI number for Alyssa Bolduan is 1336535657. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Alyssa Bolduan located?

Alyssa Bolduan practices at 302 Randall Rd Ste 202, Geneva, IL 60134. The listed phone number is (630) 938-3900.

What is Alyssa Bolduan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Alyssa Bolduan enrolled in Medicare?

Yes. Alyssa Bolduan 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.

Is Alyssa Bolduan affiliated with any hospitals?

According to CMS data, Alyssa Bolduan is affiliated with Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Alyssa Bolduan was last updated on April 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.