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DR. ALTIMUS RAY BOLLEN M.D.
NPI 1720054125
Internal Medicine in Malvern, AR

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
1002 SCHNEIDER DR, SUITE 104, MALVERN, AR 72104(501) 337-9066(501) 332-5265 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Altimus Ray Bollen M.d. NPPES

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

DR. ALTIMUS RAY BOLLEN M.D. (NPI 1720054125) is an individual internal medicine provider in Malvern, Arkansas, licensed in Arkansas (C6072) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1980).

NPPES Registry Identity

NPI1720054125
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALTIMUS RAY BOLLENCredential: M.D.
Location Address1002 SCHNEIDER DR, SUITE 104Malvern, AR 72104-4816
Mailing Address11001 Executive Center Dr, Suite 200Little Rock, AR 72211-4316 · (501) 812-7587 · Fax (501) 812-7777
Phone(501) 337-9066
Fax(501) 332-5265
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1980
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMay 22, 2008
✔ NPI 1720054125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · C6072
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.
1002 SCHNEIDER DR, Malvern, AR 72104
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Other Names 1

Other Name (5)Dr. Ray Bollen M.d.

Other Identifiers 11

Medicare UPINC67855AR
Medicaid102657001AR
Other5401027AR · Aetna
Other277387AR · Healthlink
Medicare PIN110143320AR
Medicare PIN50546AR
Other12692000000AR · Qualchoice
Medicare NSC0904380007AR
OtherMG38450AR · United Healthcare
Other9292900AR · Cigna
OtherP00046AR · Novasys

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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. Altimus Ray Bollen M.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 ID5597845404
PECOS Enrollment IDI20100512001017
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
95 services86 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
47 services45 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72104 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers52 claims122 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims25 services$0.97 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims33 services$42.34 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims66 services$18.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$74.68 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers15 claims15 services$22.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

PRESIDENTIAL EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1002 SCHNEIDER DR
MALVERN, AR 72104
Hot Spring County (469) 401-2386
SHANE HIGGINBOTHAM MD PA
Family Medicine
1002 SCHNEIDER DR, SUITE 104
MALVERN, AR 72104
Hot Spring County (501) 332-7981
HOT SPRING COUNTY MEDICAL SERVICES
Surgery
1002 SCHNEIDER DR, SUITE 102
MALVERN, AR 72104
Hot Spring County (501) 332-1012
MR. EDWARD T COSTELLO P.A.
Physician Assistant
1002 SCHNEIDER DR, SUITE 104
MALVERN, AR 72104
Hot Spring County (501) 332-7981
HEATHER GRIGSBY APRN
Nurse Practitioner (Family)
1002 SCHNEIDER DR
MALVERN, AR 72104
Hot Spring County (501) 337-9044
DR. BRUCE ALLEN WHITE M.D.
Family Medicine
1002 SCHNEIDER DR, SUITE 104
MALVERN, AR 72104
Hot Spring County (501) 337-9066

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 Altimus Bollen's NPI number?

The NPI number for Altimus Bollen is 1720054125. It was assigned to this individual provider in the NPPES registry on February 24, 2006. The provider is also known as Dr. Ray Bollen M.D..

Where is Altimus Bollen located?

Altimus Bollen practices at 1002 Schneider Dr Suite 104, Malvern, AR 72104. The listed phone number is (501) 337-9066.

What is Altimus Bollen's specialty?

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

Is Altimus Bollen enrolled in Medicare?

Yes. Altimus Bollen 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 Altimus Bollen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Altimus Bollen 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 Altimus Bollen was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.