MR. CHARLES BOLICK MD
NPI 1609870583
Family Medicine in Bristol, TN

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
240 MEDICAL PARK BLVD, STE 3000, BRISTOL, TN 37620(423) 990-2400 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Charles Bolick Md NPPES

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

MR. CHARLES BOLICK MD (NPI 1609870583) is an individual family medicine provider in Bristol, Tennessee, licensed in Tennessee (MD 025833) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1987).

NPPES Registry Identity

NPI1609870583
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. CHARLES BOLICKCredential: MD
Location Address240 MEDICAL PARK BLVD, STE 3000Bristol, TN 37620-7352
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1987
Enumeration DateJune 9, 2005
Last NPPES UpdateSeptember 16, 2009
NPI 1609870583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD 025833
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.

240 MEDICAL PARK BLVD, Bristol, TN 37620

Other Identifiers 10

Medicare UPINE09868
Medicaid3085962TN
Medicare PIN0281780003
Medicare UPIN103I086169TN
Medicare ID-Type Unspecified3085962TN
Medicare PIN0281780001
Medicaid3085969TN
Medicare PIN080089272TN
Medicaid5644721VA
Medicare PINCC9201TN

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

Mr. Charles Bolick 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 ID2961536198
PECOS Enrollment IDI20100810000677
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 23

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 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.
484 services185 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
322 services57 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
257 services51 patients
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.
185 services123 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
143 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
88 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
11 suppliers50 claims129 services$6.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims17 services$0.99 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$95.03 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers21 claims52 services$35.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$49.46 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers15 claims15 services$20.04 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 20

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

Internal Medicine
240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620
Family Medicine
240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620
Internal Medicine (Rheumatology)
240 MEDICAL PARK BLVD, STE 3800
BRISTOL, TN 37620
Clinic/Center (Ambulatory Surgical)
240 MEDICAL PARK BLVD, STE 2400
BRISTOL, TN 37620
Specialist
240 MEDICAL PARK BLVD, SUITE 2700
BRISTOL, TN 37620
Internal Medicine (Endocrinology, Diabetes & Metabolism)
240 MEDICAL PARK BLVD, STE 3800
BRISTOL, TN 37620
Nurse Practitioner
240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620
Specialist/Technologist (Athletic Trainer)
240 MEDICAL PARK BLVD
BRISTOL, TN 37620

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 Charles Bolick's NPI number?

The NPI number for Charles Bolick is 1609870583. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Charles Bolick located?

Charles Bolick practices at 240 Medical Park Blvd Ste 3000, Bristol, TN 37620. The listed phone number is (423) 990-2400.

What is Charles Bolick's specialty?

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

Is Charles Bolick enrolled in Medicare?

Yes. Charles Bolick 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 Charles Bolick accept?

Health plans from BlueCross BlueShield of Tennessee list Charles Bolick 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 Charles Bolick affiliated with any hospitals?

According to CMS data, Charles Bolick is affiliated with Wellmont Bristol Regional Medical Center and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Bolick was last updated on September 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.