1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Dentist
  6. NPI Profile

JAMES TYLER BOLIN DMD
NPI 1487092029
Dentist in Lexington, KY

Active since June 05, 2013PECOS Enrolled
220 RUCCIO WAY, SUITE 120, LEXINGTON, KY 40503(859) 309-1095 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Tyler Bolin Dmd NPPES

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

JAMES TYLER BOLIN DMD (NPI 1487092029) is an individual dentist in Lexington, Kentucky, licensed in Kentucky (9639) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487092029
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAMES TYLER BOLINCredential: DMD
Location Address220 RUCCIO WAY, SUITE 120Lexington, KY 40503-3584
Mailing Address220 Ruccio Way, Suite 120Lexington, KY 40503-3584 · (859) 309-1095
Phone(859) 309-1095
Sole ProprietorNo
Enumeration DateJune 5, 2013
Last NPPES UpdateJanuary 4, 2016
✔ NPI 1487092029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 9639
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
220 RUCCIO WAY, Lexington, KY 40503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Tyler Bolin Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Bolin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Kentucky
2.2 mi
General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1194852582 (859) 257-9272

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 James Bolin's NPI number?

The NPI number for James Bolin is 1487092029. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is James Bolin located?

James Bolin practices at 220 Ruccio Way Suite 120, Lexington, KY 40503. The listed phone number is (859) 309-1095.

What is James Bolin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is James Bolin enrolled in Medicare?

Yes. James Bolin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Bolin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Bolin reassigns Medicare benefits to University Of Kentucky (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Bolin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Bolin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and HRI Dental & Vision and 4 other insurers list James Bolin 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.

When was this NPI record last updated?

The NPPES record for James Bolin was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.