MATTHEW BOLES DO
NPI 1730573056
Radiology - Diagnostic Radiology in Fort Worth, TX

Q: What is Matthew Boles's NPI number?

The NPI number for Matthew Boles is 1730573056. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Matthew Boles's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Boles was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment

815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0404 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Feb 22, 2023 (2 updates tracked since 2023).

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About Matthew Boles Do NPPES

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

MATTHEW BOLES DO (NPI 1730573056) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (V5981) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Longview Regional Medical Center, and maintains a secondary practice location in Agana Heights.

NPPES Registry Identity

NPI1730573056

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMATTHEW BOLESCredential: DO

Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2294

Mailing Address1320 S University Dr Ste 500Fort Worth, TX 76107-5732 · (817) 321-0404

Phone(817) 321-0404

Sole ProprietorNo

Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2015

Enumeration DateMarch 25, 2015

Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1730573056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in TX · V5981✔ Licensed in VA · 0102204619

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

815 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 1Bldg #50 Farenholt Ave, Radiology DepartmentAgana Heights, GU 96910 · Phone (671) 344-9274

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Boles Do 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 ID8224401997

PECOS Enrollment IDI20250220002692, I20250718003301

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Boles reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Associates Of North Texas, PA

0.8 mi

Diagnostic Radiology

1320 S UNIVERSITY DR
Fort Worth, TX 76107

Reassigned Medicare billing, Texas and California enrollments
Also billed through NPI 1710970975 (California)
445 clinicians in this Medicare group

NPI 1861782740 (817) 321-0404

Ybl PLLC

7,254 mi

Diagnostic Radiology

643 CHALAN SAN ANTONIO, STE 109
Tamuning, GU 96913

Reassigned Medicare billing, Guam enrollment
7 clinicians in this Medicare group

NPI 1295057503 (671) 648-6390

General Conference Corp Of Sda

Clinic/Center

388 YPAO RD
Tamuning, GU 96913

Reassigned Medicare billing, Guam enrollment
105 clinicians in this Medicare group

NPI 1275586877 (671) 646-8881

Pacific Radiology Inc A Professional Corporation

Diagnostic Radiology

388 YPAO RD, SDA RADIOLOGY DEPARTMENT
Tamuning, GU 96913

Reassigned Medicare billing, Guam enrollment
4 clinicians in this Medicare group

NPI 1023230752 (671) 646-8881

Takecare Insurance Company Inc.

Health Service

548 S MARINE CORPS. DR
Tamuning, GU 96913

Reassigned Medicare billing, Guam enrollment
44 clinicians in this Medicare group

NPI 1972565240 (671) 646-6956

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

2,100 services19 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

83 services83 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

50 services49 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

21 services18 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

18 services18 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

17 services14 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

17 services16 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

16 services15 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

15 services15 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

14 services14 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

14 services14 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

13 services13 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450702

Location2901 N Fourth StLongview, TX 75605 · Gregg County

Emergency services Birthing friendly

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450801

Location2600 St Michael DrTexarkana, TX 75503 · Bowie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 20

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

KELLY C STARKEY M.D.

Radiology (Diagnostic Radiology)