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DR. WILLIAM E BOLGER M.D.
NPI 1417990128
Otolaryngology in Jacksonville, FL

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
6817 SOUTHPOINT PKWY STE 502, JACKSONVILLE, FL 32216(904) 595-7475 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William E Bolger M.d. NPPES

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

DR. WILLIAM E BOLGER M.D. (NPI 1417990128) is an individual otolaryngology provider in Jacksonville, Florida, licensed in Florida (ME104254) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1991).

NPPES Registry Identity

NPI1417990128
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WILLIAM E BOLGERCredential: M.D.
Location Address6817 SOUTHPOINT PKWY STE 502Jacksonville, FL 32216-6289
Mailing Address6817 Southpoint Pkwy Ste 502Jacksonville, FL 32216-6289 · (904) 595-7475
Phone(904) 595-7475
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1991
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 10, 2018
✔ NPI 1417990128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in FL · ME104254✔ Licensed in MD · D60607
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.
6817 SOUTHPOINT PKWY STE 502, Jacksonville, FL 32216
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Other Identifiers 3

Medicaid001371600FL
Medicaid253536000FL
Medicaid415096100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. William E Bolger 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 ID6901802008
PECOS Enrollment IDI20091019000228
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 4

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.

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.
89 services55 patients
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.
39 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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.
24 services17 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 3

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

NORTH FLORIDA SINUS CENTER
Otolaryngology
6817 SOUTHPOINT PKWY STE 502
JACKSONVILLE, FL 32216
Duval County (904) 595-7475
FLORIDA SURGICAL SPECIALTY ASSOCIATES LLC
Otolaryngology
6817 SOUTHPOINT PKWY STE 502
JACKSONVILLE, FL 32216
Duval County (904) 595-7475
NASERI MEDICAL SERVICES, INC
Otolaryngology
6817 SOUTHPOINT PKWY STE 502
JACKSONVILLE, FL 32216
Duval County (904) 595-7475

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 William Bolger's NPI number?

The NPI number for William Bolger is 1417990128. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is William Bolger located?

William Bolger practices at 6817 Southpoint Pkwy Ste 502, Jacksonville, FL 32216. The listed phone number is (904) 595-7475.

What is William Bolger's specialty?

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

Is William Bolger enrolled in Medicare?

Yes. William Bolger 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 William Bolger accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list William Bolger 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 William Bolger affiliated with any hospitals?

According to CMS data, William Bolger is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for William Bolger was last updated on April 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.