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DR. CHESTER MCBRIDE BOLTWOOD JR. MD
NPI 1669415303
Internal Medicine - Interventional Cardiology in Modesto, CA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
4603 DALE RD, KAISER PERMANENTE MEDICAL OFFICES, MODESTO, CA 95357(209) 735-4287(209) 735-4283 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chester Mcbride Boltwood Jr. Md NPPES

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

DR. CHESTER MCBRIDE BOLTWOOD JR. MD (NPI 1669415303) is an individual interventional cardiology provider in Modesto, California, licensed in California (G35042) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1976).

NPPES Registry Identity

NPI1669415303
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. CHESTER MCBRIDE BOLTWOOD JR.Credential: MD
Location Address4603 DALE RD, KAISER PERMANENTE MEDICAL OFFICESModesto, CA 95357-7680
Mailing Address4601 Dale RdModesto, CA 95356-9718 · (209) 735-4287 · Fax (209) 735-4283
Phone(209) 735-4287
Fax(209) 735-4283
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1976
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 13, 2021
✔ NPI 1669415303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in CA · G35042
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License G35042 (CA)
4603 DALE RD, Modesto, CA 95357
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Other Identifiers 1

MedicaidZZZ76734ZCA

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

Dr. Chester Mcbride Boltwood 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 ID8325061195
PECOS Enrollment IDI20070606000651
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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95357 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Chester Boltwood's NPI number?

The NPI number for Chester Boltwood is 1669415303. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Chester Boltwood located?

Chester Boltwood practices at 4603 Dale Rd Kaiser Permanente Medical Offices, Modesto, CA 95357. The listed phone number is (209) 735-4287.

What is Chester Boltwood's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Chester Boltwood enrolled in Medicare?

Yes. Chester Boltwood 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.

When was this NPI record last updated?

The NPPES record for Chester Boltwood was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.