DR. BILLY BOLDON DO - NPI 1790754000 - Pediatrics in Greenwood, MS

Q: What is Billy Boldon's NPI number?

The NPI number for Billy Boldon is 1790754000. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Billy Boldon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Billy Boldon was last updated on April 25, 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.

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About Dr. Billy Boldon Do NPPES

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

DR. BILLY BOLDON DO (NPI 1790754000) is an individual pediatrics provider in Greenwood, Mississippi, licensed in Mississippi (12903) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790754000

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BILLY BOLDONCredential: DO

Location Address1405 STRONG AVEGreenwood, MS 38930-4035

Mailing AddressPo Box 1410, Attn Clinic AdministrationGreenwood, MS 38935-1410 · (662) 459-1187 · Fax (662) 459-1147

Phone(662) 459-7030

Fax(662) 459-1104

Sole ProprietorNo

Enumeration DateMarch 17, 2006

Last NPPES UpdateApril 25, 2008

✔ NPI 1790754000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MS · 12903

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1405 STRONG AVE, Greenwood, MS 38930

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Other Identifiers 1

Medicaid00113949MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 (PECOS)

Dr. Billy Boldon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38930 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

DR. VIVIAN ELIZABETH 'LISA' HUDDLESTON MD

Pediatrics