MARK JAMES BOLTON M.D.
NPI 1790785152
General Practice in Columbus, OH
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
Specialties & Licenses 3
Accepted 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
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.
Medicare Billing Reassignments
14Medicare enrollment records show Mark Bolton reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Steubenville, OH 43952
- Reassigned Medicare billing, Ohio enrollment
- 98 clinicians in this Medicare group
Prestonsburg, KY 41653
- Reassigned Medicare billing, Kentucky enrollment
- 57 clinicians in this Medicare group
Hardinsburg, KY 40143
- Reassigned Medicare billing, Kentucky enrollment
- 182 clinicians in this Medicare group
Las Vegas, NM 87701
- Reassigned Medicare billing, New Mexico enrollment
- 14 clinicians in this Medicare group
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
- 122 clinicians in this Medicare group
Laredo, TX 78045
- Reassigned Medicare billing, Texas enrollment
- 119 clinicians in this Medicare group
Laredo, TX 78041
- Reassigned Medicare billing, Texas enrollment
- 84 clinicians in this Medicare group
Las Cruces, NM 88011
- Reassigned Medicare billing, New Mexico enrollment
- 183 clinicians in this Medicare group
Driggs, ID 83422
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1477809622 (Idaho)
- 90 clinicians in this Medicare group
Ganado, AZ 86505
- Reassigned Medicare billing, Arizona enrollment
- 204 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lost Rivers Medical Center
Critical Access Hospitals · Arco, IDThree Crosses Regional Hospital LLC
Acute Care Hospitals · Las Cruces, NMMimbres Memorial Hospital
Critical Access Hospitals · Deming, NMAlta Vista Regional Hospital
Critical Access Hospitals · Las Vegas, NMDoctors Hospital Of Laredo
Acute Care Hospitals · Laredo, TXReferred 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.
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.
COLUMBUS, OH 43219
COLUMBUS, OH 43219
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 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.
Where is Mark Bolton located?
Mark Bolton practices at 420 N James Rd, Columbus, OH 43219. The listed phone number is (614) 257-5000.
What is Mark Bolton's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mark Bolton enrolled in Medicare?
Yes. Mark Bolton 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.
Which organizations bill Medicare for Mark Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bolton reassigns Medicare benefits to 14 organizations: Columbiana Emergency Physicians LLC (Steubenville, OH), Floyd Emergency Group, LLC (Prestonsburg, KY), Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY), Summit Emergency Medicine LLC (Las Vegas, NM), Taos Health Systems Inc Holy Cross Hospital (Taos, NM) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Bolton accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Mark Bolton 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.
Is Mark Bolton affiliated with any hospitals?
According to CMS data, Mark Bolton is affiliated with Lost Rivers Medical Center, Three Crosses Regional Hospital LLC, Mimbres Memorial Hospital, Alta Vista Regional Hospital and Doctors Hospital Of Laredo.
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.
# Mark James Bolton, M.D. · NPI 1790785152
General Practice physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since July 28, 2005.
## Identity
- **NPI:** 1790785152 (Entity type: Individual)
- **Enumerated:** July 28, 2005
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 69133 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 N JAMES RD, Columbus, OH 43219-1834
- **Phone:** (614) 257-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Columbiana Emergency Physicians LLC (NPI 1336618628, Steubenville, OH); Floyd Emergency Group, LLC (NPI 1760834345, Prestonsburg, KY); Concord Medical Group Of Kentucky PLLC (NPI 1346746385, Hardinsburg, KY); Summit Emergency Medicine LLC (NPI 1679112130, Las Vegas, NM); Taos Health Systems Inc Holy Cross Hospital (NPI 1194751958, Taos, NM); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** April 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1790785152) · Data from the CMS NPPES public registry.