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SCOTT M BOLTON M.D.
NPI 1831489996
Pediatrics - Pediatric Gastroenterology in Wilmette, IL

Active since April 11, 2011PECOS Enrolled
3232 LAKE AVE STE 330, WILMETTE, IL 60091(847) 570-1795(847) 503-4590 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scott M Bolton M.d. NPPES

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

SCOTT M BOLTON M.D. (NPI 1831489996) is an individual pediatric gastroenterology provider in Wilmette, Illinois, licensed in Illinois (036173195) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831489996
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameSCOTT M BOLTONCredential: M.D.
Location Address3232 LAKE AVE STE 330Wilmette, IL 60091-1085
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700
Phone(847) 570-1795
Fax(847) 503-4590
Sole ProprietorNo
Enumeration DateApril 11, 2011
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1831489996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in IL · 036173195✔ Licensed in OH · 35.123879
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 036137475 (IL), 35.123879 (OH)
3232 LAKE AVE STE 330, Wilmette, IL 60091
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Secondary Practice Locations 2

Location 13333 Burnet Avenue, ML 5018Cincinnati, OH 45229 · Phone (513) 636-4315 · Fax (513) 636-7905
Location 2830 W End Ct Ste 500Vernon Hills, IL 60061-1379 · Phone (847) 570-1795 · Fax (847) 503-4590

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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 (PECOS)

Scott M Bolton M.d. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Scott Bolton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
3.9 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
The Board Of Trustees Of The University Of Illinois
11 mi
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1588815401 (734) 726-4697
Loyola University Medical Center
16 mi
General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
NPI 1336159961 (708) 216-3215
Children's Hospital Medical Center
265 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60091 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 15

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

DR. JACQUELINE DELIA WELTER MD
Pediatrics
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (224) 266-9410
DR. ANNIE FERNANDEZ PSYD
Psychologist (Clinical)
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (847) 318-9300
VIRGINIA GRACE MAUST RD, LDN
Dietitian, Registered
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (847) 318-9300
JACQUELINE TWOREK
Dietitian, Registered
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (847) 318-9330
SABRINA MY LIN MD
Preventive Medicine (Occupational Medicine)
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (224) 226-9420
HELEN ELIZABETH MULCAHY MD
Hospitalist
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (224) 226-9420
SAMANTHA MARIE ESPINOZA DNP PNP-PC
Nurse Practitioner
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (847) 570-5020
MIYEITA GISELLE MAGEE NP
Nurse Practitioner (Pediatrics)
3232 LAKE AVE STE 330
WILMETTE, IL 60091
Cook County (224) 266-9420

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 Scott Bolton's NPI number?

The NPI number for Scott Bolton is 1831489996. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Scott Bolton located?

Scott Bolton practices at 3232 Lake Ave Ste 330, Wilmette, IL 60091. The listed phone number is (847) 570-1795.

What is Scott Bolton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Scott Bolton enrolled in Medicare?

Yes. Scott Bolton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Bolton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Bolton reassigns Medicare benefits to 4 organizations: Endeavor Health Medical Group (Evanston, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL), Loyola University Medical Center (Maywood, IL) and Children's Hospital Medical Center (Cincinnati, OH). 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 Scott Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Bolton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Bolton was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.