JOHN W BOLDT JR. MD
NPI 1629067335
Internal Medicine - Pulmonary Disease in Chattanooga, TN

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
979 E 3RD ST, SUITE B-805, CHATTANOOGA, TN 37403(423) 778-9101(423) 778-4397 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John W Boldt Jr. Md NPPES

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

JOHN W BOLDT JR. MD (NPI 1629067335) is an individual pulmonary disease provider in Chattanooga, Tennessee, licensed in Tennessee (26336) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1982).

NPPES Registry Identity

NPI1629067335
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOHN W BOLDT JR.Credential: MD
Location Address979 E 3RD ST, SUITE B-805Chattanooga, TN 37403-2136
Mailing AddressPo Box 11547Chattanooga, TN 37401-2547 · (423) 778-3274 · Fax (423) 778-2255
Fax(423) 778-4397
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1982
Enumeration DateOctober 14, 2005
Last NPPES UpdateOctober 2, 2007
NPI 1629067335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · 26336
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
979 E 3RD ST, Chattanooga, TN 37403

Other Identifiers 2

Medicare PIN38921301TN
Medicare UPINE24305TN

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

John W Boldt Jr. 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 ID3173519584
PECOS Enrollment IDI20040421001734
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 17

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.
158 services115 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.
95 services81 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.
73 services57 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.
50 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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.

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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers36 claims36 services$31.84 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier14 claims1,260 services$2.50 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier17 claims34 services$3.61 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier15 claims450 services$4.50 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier15 claims26 services$7.20 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier16 claims49 services$3.15 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.

Radiology (Radiation Oncology)
979 E 3RD ST, SUITE G-20
CHATTANOOGA, TN 37403
Student in an Organized Health Care Education/Training Program
979 E 3RD ST
CHATTANOOGA, TN 37403
Nurse Practitioner (Family)
979 E 3RD ST, SUITE C 925
CHATTANOOGA, TN 37403
Orthopaedic Surgery
979 E 3RD ST, SUITE C430
CHATTANOOGA, TN 37403
Surgery (Plastic and Reconstructive Surgery)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Surgery (Pediatric Surgery)
979 E 3RD ST, STE 300
CHATTANOOGA, TN 37403
Surgery (Surgery of the Hand)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Obstetrics & Gynecology (Obstetrics)
979 E 3RD ST, SUITE C-725
CHATTANOOGA, TN 37403

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 John Boldt's NPI number?

The NPI number for John Boldt is 1629067335. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is John Boldt located?

John Boldt practices at 979 E 3rd St Suite B-805, Chattanooga, TN 37403. The listed phone number is (423) 778-9101.

What is John Boldt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Boldt enrolled in Medicare?

Yes. John Boldt 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 John Boldt accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list John Boldt 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 John Boldt affiliated with any hospitals?

According to CMS data, John Boldt is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for John Boldt was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.