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THOMAS J BOLAND MD
NPI 1679531867
Dentist - Oral and Maxillofacial Surgery in St Petersburg, FL

Active since May 04, 2006Opted out of Medicare · through Apr 1, 2028
6540 4TH ST N, ST PETERSBURG, FL 33702(727) 525-0155(727) 520-7173 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas J Boland Md NPPES

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

THOMAS J BOLAND MD (NPI 1679531867) is an individual oral and maxillofacial surgery provider in St Petersburg, Florida, licensed in Florida (ME0050633) and active in the NPI registry since May 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679531867
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTHOMAS J BOLANDCredential: MD
Location Address6540 4TH ST NSt Petersburg, FL 33702-6822
Mailing Address6540 4th St NSt Petersburg, FL 33702-6822 · (727) 525-0155 · Fax (727) 520-7173
Phone(727) 525-0155
Fax(727) 520-7173
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateOctober 21, 2019
✔ NPI 1679531867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · ME0050633
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6540 4TH ST N, St Petersburg, FL 33702
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Other Identifiers 1

Medicaid046922000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thomas J Boland Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 3

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

HITEN UPADHYAY MDPL
Emergency Medicine
6540 4TH ST N, SUITE C
ST PETERSBURG, FL 33702
Pinellas County (727) 528-7827
DR. BRIAN MANNARI D.M.D., M.S.
Dentist (Oral and Maxillofacial Surgery)
6540 4TH ST N, STE A
ST PETERSBURG, FL 33702
Pinellas County (727) 525-0155
BOLAND & MANNARI LLC
Oral & Maxillofacial Surgery
6540 4TH ST N, SUITE A
ST PETERSBURG, FL 33702
Pinellas County (727) 525-0155

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 Thomas Boland's NPI number?

The NPI number for Thomas Boland is 1679531867. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Thomas Boland located?

Thomas Boland practices at 6540 4th St N, St Petersburg, FL 33702. The listed phone number is (727) 525-0155.

What is Thomas Boland's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Thomas Boland enrolled in Medicare?

No. Thomas Boland has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Thomas Boland accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 15 other insurers list Thomas Boland 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.

When was this NPI record last updated?

The NPPES record for Thomas Boland was last updated on October 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.