KODY GIBSON BOLK MD
NPI 1669976023
Otolaryngology - Otolaryngic Allergy in Springfield, IL
About Kody Gibson Bolk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KODY GIBSON BOLK MD (NPI 1669976023) is an individual otolaryngic allergy provider in Springfield, Illinois, licensed in Georgia (95460) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
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
Kody Gibson Bolk 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILMemorial Medical Center
Acute Care Hospitals · Springfield, ILMedicare 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.
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.
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 Kody Bolk's NPI number?
The NPI number for Kody Bolk is 1669976023. It was assigned to this individual provider in the NPPES registry on March 21, 2018.
Where is Kody Bolk located?
Kody Bolk practices at 720 N Bond St, Springfield, IL 62702. The listed phone number is (217) 545-8000.
What is Kody Bolk's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.
Is Kody Bolk enrolled in Medicare?
Yes. Kody Bolk 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 Kody Bolk affiliated with any hospitals?
According to CMS data, Kody Bolk is affiliated with St Johns Hospital and Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Kody Bolk was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
