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ALEXANDER RICHARD BOLTON D.O.
NPI 1639581127
Internal Medicine in Belleville, IL

Active since June 02, 2014PECOS EnrolledAccepts Medicare Assignment
99.37/100
CMS Quality Rating
4600 MEMORIAL DR STE W1, BELLEVILLE, IL 62226(618) 233-3066(618) 233-3066 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2023, Jul 20, 2018, Oct 25, 2017 and 1 more (4 updates tracked since 2017).

About Alexander Richard Bolton D.o. NPPES

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

ALEXANDER RICHARD BOLTON D.O. (NPI 1639581127) is an individual internal medicine provider in Belleville, Illinois, licensed in Illinois (036163598) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Cary Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2014).

NPPES Registry Identity

NPI1639581127
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALEXANDER RICHARD BOLTONCredential: D.O.
Location Address4600 MEMORIAL DR STE W1Belleville, IL 62226-5359
Mailing Address611 W Park StUrbana, IL 61801-2529 · (217) 383-4846
Phone(618) 233-3066
Fax(618) 233-3066
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2014
Enumeration DateJune 2, 2014
Last NPPES UpdateFebruary 12, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1639581127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036163598
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036.163598 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036.163598 (IL)
4600 MEMORIAL DR STE W1, Belleville, IL 62226
Open in Google Maps ↗

Other Identifiers 2

OtherDO-05182IA · Iowa Medical License
Other036.163598IL · Illinois Medical License

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

Alexander Richard Bolton D.o. 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 ID446477350
PECOS Enrollment IDI20231110001778
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 7

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.

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.
198 services90 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
103 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
52 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Cary Medical Center

Acute Care Hospitals · Caribou, ME
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number200031
Location163 Van Buren Rd, Suite 1Caribou, ME 04736 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

99.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality95.69
Promoting Interoperability98.95
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

BESSY SARAHI VILLAFRANCA-ESCOBAR PA-C
Physician Assistant
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
MRS. MEGAN J LAND FNP
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
AHMED HAMDY HUSSEIN MD
Internal Medicine (Interventional Cardiology)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
PRASAD V KANDULA M.D.
Internal Medicine (Interventional Cardiology)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
ANNE LESLIE KRAMER NP
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (314) 448-3791
DR. MICHAEL CLAY BROWN JR. MD
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
DR. SULTAN A HAYAT MD
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
CYNTHIA L KUES ANP
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066

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 Alexander Bolton's NPI number?

The NPI number for Alexander Bolton is 1639581127. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Alexander Bolton located?

Alexander Bolton practices at 4600 Memorial Dr Ste W1, Belleville, IL 62226. The listed phone number is (618) 233-3066.

What is Alexander Bolton's specialty?

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

Is Alexander Bolton enrolled in Medicare?

Yes. Alexander 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.

Is Alexander Bolton affiliated with any hospitals?

According to CMS data, Alexander Bolton is affiliated with Cary Medical Center and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Bolton was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.