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DR. KENNETH DAVID BOLTZ O.D.
NPI 1699767632
Optometrist in Dublin, OH

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
5775 PERIMETER DR, STE 160, DUBLIN, OH 43017(614) 763-5775(614) 675-3338 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth David Boltz O.d. NPPES

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

DR. KENNETH DAVID BOLTZ O.D. (NPI 1699767632) is an individual optometrist in Dublin, Ohio, licensed in Ohio (OH3782) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1985).

NPPES Registry Identity

NPI1699767632
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENNETH DAVID BOLTZCredential: O.D.
Location Address5775 PERIMETER DR, STE 160Dublin, OH 43017-3257
Mailing Address5775 Perimeter Dr, Ste 160Dublin, OH 43017-3257 · (614) 763-5775 · Fax (614) 675-3338
Phone(614) 763-5775
Fax(614) 675-3338
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1985
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 20, 2017
✔ NPI 1699767632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · OH3782
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5775 PERIMETER DR, Dublin, OH 43017
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Other Identifiers 1

Medicare UPINU20621OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Dr. Kenneth David Boltz O.d. 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 ID3072546332
PECOS Enrollment IDI20100903000796
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 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.
147 services134 patients
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.
18 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

LAUREN BATES THOMAS PA-C
Physician Assistant
5775 PERIMETER DR, STE 200
DUBLIN, OH 43017
Franklin County (614) 845-0418
MARIA ANTONETTE HART
Nurse Practitioner (Family)
5775 PERIMETER DR
DUBLIN, OH 43017
Franklin County (513) 267-6553
DR. GUNNSTEINN STEINARSSON D.C.
Chiropractor
5775 PERIMETER DR
DUBLIN, OH 43017
Franklin County (614) 760-5555
WINCHESTER CHIROPRACTIC CLINIC, LLC
Chiropractor
5775 PERIMETER DR, SUITE 160
DUBLIN, OH 43017
Franklin County (614) 760-5555
KENNETH D BOLTZ OD LLC
Optometrist
5775 PERIMETER DR, SUITE 160
DUBLIN, OH 43017
Franklin County (614) 763-5775

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 Kenneth Boltz's NPI number?

The NPI number for Kenneth Boltz is 1699767632. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Kenneth Boltz located?

Kenneth Boltz practices at 5775 Perimeter Dr Ste 160, Dublin, OH 43017. The listed phone number is (614) 763-5775.

What is Kenneth Boltz's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kenneth Boltz enrolled in Medicare?

Yes. Kenneth Boltz 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 Kenneth Boltz accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and CareSource and 2 other insurers list Kenneth Boltz 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 Kenneth Boltz was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.