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MARCUS PAUL BOLTON CNP
NPI 1629571880
Nurse Practitioner - Family in Xenia, OH

Active since March 14, 2018PECOS EnrolledAccepts Medicare Assignment
1157 N MONROE DR STE 220, XENIA, OH 45385(937) 374-3484 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2020, Mar 15, 2018 (2 updates tracked since 2018).

About Marcus Paul Bolton Cnp NPPES

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

MARCUS PAUL BOLTON CNP (NPI 1629571880) is an individual family provider in Xenia, Ohio, licensed in Ohio (APRN.CNP.022319) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629571880
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARCUS PAUL BOLTONCredential: CNP
Location Address1157 N MONROE DR STE 220Xenia, OH 45385-1699
Mailing Address1157 N Monroe Dr Ste 220Xenia, OH 45385-1699 · (937) 374-3484 · Fax (937) 374-7484
Phone(937) 374-3484
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 14, 2018
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1629571880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.022319
1157 N MONROE DR STE 220, Xenia, OH 45385
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Marcus Paul Bolton Cnp 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 ID7113280009
PECOS Enrollment IDI20180405001632
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 3

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 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.
97 services65 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.
80 services80 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.
58 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360026
Location1141 North Monroe DriveXenia, OH 45385 · Greene County
Emergency services

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45385 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

RICHARD H BYERS JR. MD
Family Medicine
1157 N MONROE DR STE 220
XENIA, OH 45385
Greene County (937) 374-3484
KIMBERLY ANN BELL MSN, RN, NP-C
Nurse Practitioner (Family)
1157 N MONROE DR STE 220
XENIA, OH 45385
Greene County (937) 374-3484

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 Marcus Bolton's NPI number?

The NPI number for Marcus Bolton is 1629571880. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Marcus Bolton located?

Marcus Bolton practices at 1157 N Monroe Dr Ste 220, Xenia, OH 45385. The listed phone number is (937) 374-3484.

What is Marcus Bolton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marcus Bolton enrolled in Medicare?

Yes. Marcus Bolton 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 Marcus Bolton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Marcus Bolton 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 Marcus Bolton affiliated with any hospitals?

According to CMS data, Marcus Bolton is affiliated with Kettering Health Greene Memorial, Kettering Health Dayton and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Marcus Bolton was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.