MARK JAMES BOLTON M.D.
NPI 1790785152
General Practice in Columbus, OH

Q: What is Mark Bolton's NPI number?

The NPI number for Mark Bolton is 1790785152. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Mark Bolton's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bolton was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 28, 2005PECOS EnrolledAccepts Medicare Assignment

420 N JAMES RD, COLUMBUS, OH 43219(614) 257-5000 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark James Bolton M.d. NPPES

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

MARK JAMES BOLTON M.D. (NPI 1790785152) is an individual general practice provider in Columbus, Ohio, licensed in Ohio (69133) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Lost Rivers Medical Center, and is a graduate of Loma Linda University School Of Medicine (1994).

NPPES Registry Identity

NPI1790785152

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMARK JAMES BOLTONCredential: M.D.

Location Address420 N JAMES RDColumbus, OH 43219-1834

Mailing Address8703 Belworth SqNew Albany, OH 43054-9074 · (614) 313-6112

Phone(614) 257-5000

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1994

Enumeration DateJuly 28, 2005

Last NPPES UpdateApril 12, 2016

✔ NPI 1790785152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OH · 69133

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License 69133 (OH)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 69133 (OH)

420 N JAMES RD, Columbus, OH 43219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Moda Health Plan, Inc., Select 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 and accepts Medicare assignment

Mark James Bolton 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 ID941104913

PECOS Enrollment IDI20230801002176, I20230905002421

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 4

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 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.

75 services67 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

38 services35 patients

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.

31 services31 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

23 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Lost Rivers Medical Center

Critical Access Hospitals · Arco, ID

OwnershipGovernment - Hospital District or Authority

CMS Certification Number131324

Location551 Highland DriveArco, ID 83213 · Butte County

Emergency services

Mimbres Memorial Hospital

Critical Access Hospitals · Deming, NM

OwnershipProprietary

CMS Certification Number321309

Location900 W AshDeming, NM 88030 · Luna County

Emergency services

Alta Vista Regional Hospital

Critical Access Hospitals · Las Vegas, NM

OwnershipProprietary

CMS Certification Number321312

Location104 Legion DriveLas Vegas, NM 87701 · San Miguel County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers21 claims23 services$113.48 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 20

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

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