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MARK L BOLES M.D.
NPI 1417969205
Obstetrics & Gynecology in Dublin, GA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
227 INDUSTRIAL BLVD, DUBLIN, GA 31021(478) 272-1304(478) 275-1375 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark L Boles M.d. NPPES

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

MARK L BOLES M.D. (NPI 1417969205) is an individual obstetrics & gynecology provider in Dublin, Georgia, licensed in Georgia (045731) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1993).

NPPES Registry Identity

NPI1417969205
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK L BOLESCredential: M.D.
Location Address227 INDUSTRIAL BLVDDublin, GA 31021-2969
Mailing Address227 Industrial BlvdDublin, GA 31021-2969 · (478) 272-1304 · Fax (478) 275-1375
Phone(478) 272-1304
Fax(478) 275-1375
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1993
Enumeration DateAugust 12, 2006
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1417969205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 045731
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
227 INDUSTRIAL BLVD, Dublin, GA 31021
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Other Identifiers 1

Medicaid00797266BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Mark L Boles 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.

PECOS PAC ID1557253788
PECOS Enrollment IDI20040325000128
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 3

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 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.
75 services26 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
47 services47 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 5

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

MATTHEW KALEB BOLES MD
Obstetrics & Gynecology
227 INDUSTRIAL BLVD
DUBLIN, GA 31021
Laurens County (478) 301-2600
KAVURI & COLLIER INTERNAL MEDICINE, LLC
Internal Medicine
227 INDUSTRIAL BLVD
DUBLIN, GA 31021
Laurens County (478) 272-1366
LAUREN WEIGEL LOWERY MD
Obstetrics & Gynecology
227 INDUSTRIAL BLVD
DUBLIN, GA 31021
Laurens County (478) 275-1304
MARK L. BOLES, MD
Obstetrics & Gynecology
227 INDUSTRIAL BLVD
DUBLIN, GA 31021
Laurens County (478) 275-1304
MS. KATHY BOLES RN
Registered Nurse
227 INDUSTRIAL BLVD
DUBLIN, GA 31021
Laurens County (475) 275-1304

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 Mark Boles's NPI number?

The NPI number for Mark Boles is 1417969205. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Mark Boles located?

Mark Boles practices at 227 Industrial Blvd, Dublin, GA 31021. The listed phone number is (478) 272-1304.

What is Mark Boles's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Boles enrolled in Medicare?

Yes. Mark Boles 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.

What insurance does Mark Boles accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mark Boles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Boles affiliated with any hospitals?

According to CMS data, Mark Boles is affiliated with Fairview Park Hospital.

When was this NPI record last updated?

The NPPES record for Mark Boles was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.