DR. JOHN BOLLA
NPI 1396723581
Family Medicine in Lake Worth, FL

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9835 LAKE WORTH RD STE 16, LAKE WORTH, FL 33467(251) 495-2990 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, Jan 17, 2020 (2 updates tracked since 2020).

About Dr. John Bolla NPPES

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

DR. JOHN BOLLA (NPI 1396723581) is an individual family medicine provider in Lake Worth, Florida, licensed in Florida (ME0069906) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1396723581
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN BOLLA
Location Address9835 LAKE WORTH RD STE 16Lake Worth, FL 33467-2370
Mailing Address9835 Lake Worth Rd Ste 16Lake Worth, FL 33467-2370 · (251) 495-2990 · Fax (514) 952-9903
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 6, 2006
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1396723581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME0069906
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9835 LAKE WORTH RD STE 16, Lake Worth, FL 33467

Other Identifiers 1

Medicaid252225000FL

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

Dr. John Bolla 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 ID3173681780
PECOS Enrollment IDI20250807001023
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33467 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers135 claims346 services$5.75 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers24 claims24 services$2.81 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers11 claims11 services$1.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers93 claims118 services$0.94 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers33 claims33 services$33.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers18 claims18 services$72.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Family Medicine
9835 LAKE WORTH RD STE 16
LAKE WORTH, FL 33467

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 John Bolla's NPI number?

The NPI number for John Bolla is 1396723581. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is John Bolla located?

John Bolla practices at 9835 Lake Worth Rd Ste 16, Lake Worth, FL 33467. The listed phone number is (251) 495-2990.

What is John Bolla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Bolla enrolled in Medicare?

Yes. John Bolla 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.

When was this NPI record last updated?

The NPPES record for John Bolla was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.