DOUGLAS GLYNN BOLITHO M.D.
NPI 1740488196
Plastic Surgery in La Jolla, CA

Q: What is Douglas Bolitho's NPI number?

The NPI number for Douglas Bolitho is 1740488196. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Q: What is Douglas Bolitho's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: Is Douglas Bolitho enrolled in Medicare?

No. Douglas Bolitho has opted out of Medicare through January 1, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Douglas Bolitho was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 06, 2007Opted out of Medicare · through Jan 1, 2027

9834 GENESEE AVE, 311, LA JOLLA, CA 92037(858) 458-5100(858) 458-1550 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Douglas Glynn Bolitho M.d. NPPES

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

DOUGLAS GLYNN BOLITHO M.D. (NPI 1740488196) is an individual plastic surgery provider in La Jolla, California, licensed in California (A69572) and active in the NPI registry since July 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740488196

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDOUGLAS GLYNN BOLITHOCredential: M.D.

Location Address9834 GENESEE AVE, 311La Jolla, CA 92037-1223

Mailing Address9834 Genesee Ave, 311La Jolla, CA 92037-1223 · (858) 458-5100 · Fax (858) 458-1550

Phone(858) 458-5100

Fax(858) 458-1550

Sole ProprietorYes

Enumeration DateJuly 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1740488196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A69572

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

9834 GENESEE AVE, La Jolla, CA 92037

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Other Identifiers 1

Medicare UPINH29631CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Douglas Glynn Bolitho M.d. 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 January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015

Opt-Out In Effect ThroughJanuary 1, 2027Opt-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 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 20

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

DAVID SCOTT MICHELSON MD

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

DR. ERIC HONG M.D.

Internal Medicine (Cardiovascular Disease)

9834 GENESEE AVE, SUITE 300
LA JOLLA, CA 92037

San Diego County (858) 824-2900

HAILEY ENGLERT SLP

Speech-Language Pathologist

9834 GENESEE AVE
LA JOLLA, CA 92037

San Diego County (858) 626-4444

SCOTT R MILLER MD FACS APC

Plastic Surgery

9834 GENESEE AVE, SUITE 210
LA JOLLA,, CA 92037

San Diego County (858) 453-3133

PAUL E MICHELSON MD, INC

Ophthalmology

9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037

San Diego County (858) 457-3050

MARILYN SARA FREEMAN PH.D., MFT

Marriage & Family Therapist

9834 GENESEE AVE, STE. 427
LA JOLLA, CA 92037

San Diego County (858) 502-5553

LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION

Specialist

9834 GENESEE AVE, SUITE #411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

FREDERICK J DE LA VEGA, MD

Specialist

9834 GENESEE AVE, 411
LA JOLLA, CA 92037

San Diego County (858) 677-1755

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 Douglas Bolitho's NPI number?

The NPI number for Douglas Bolitho is 1740488196. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Douglas Bolitho located?

Douglas Bolitho practices at 9834 Genesee Ave 311, La Jolla, CA 92037. The listed phone number is (858) 458-5100.

What is Douglas Bolitho's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Douglas Bolitho enrolled in Medicare?

No. Douglas Bolitho has opted out of Medicare through January 1, 2027. 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.

When was this NPI record last updated?

The NPPES record for Douglas Bolitho was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.