MADISON STEPHENS BOLES MD
NPI 1467071969
Internal Medicine in Jefferson City, TN

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
380 W BROADWAY BLVD, JEFFERSON CITY, TN 37760(865) 475-4742 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2025, Jun 28, 2024, Apr 16, 2020 (3 updates tracked since 2020).

About Madison Stephens Boles Md NPPES

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

MADISON STEPHENS BOLES MD (NPI 1467071969) is an individual internal medicine provider in Jefferson City, Tennessee, licensed in Tennessee (71323) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2020).

NPPES Registry Identity

NPI1467071969
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMADISON STEPHENS BOLESCredential: MD
Location Address380 W BROADWAY BLVDJefferson City, TN 37760-2602
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1467071969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 71323
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
380 W BROADWAY BLVD, Jefferson City, TN 37760

Accepted 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

Madison Stephens Boles Md 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 ID4587095294
PECOS Enrollment IDI20240814001015
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 13

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
54 services52 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.
48 services44 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
44 services43 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.
43 services39 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
36 services35 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37760 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
380 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Nurse Practitioner (Family)
380 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Physician Assistant (Medical)
380 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Internal Medicine (Hematology & Oncology)
380 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Internal Medicine
380 W BROADWAY BLVD
JEFFERSON CITY, TN 37760
Internal Medicine
380 W BROADWAY BLVD
JEFFERSON CITY, TN 37760

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 Madison Boles's NPI number?

The NPI number for Madison Boles is 1467071969. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Madison Boles located?

Madison Boles practices at 380 W Broadway Blvd, Jefferson City, TN 37760. The listed phone number is (865) 475-4742.

What is Madison Boles's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madison Boles enrolled in Medicare?

Yes. Madison 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 Madison Boles accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and UnitedHealthcare list Madison 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 Madison Boles affiliated with any hospitals?

According to CMS data, Madison Boles is affiliated with Morristown Hamblen Hospital Association and Tennova Healthcare-Jefferson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Madison Boles was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.