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

Q: 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.

Q: What is Scott Bolton's specialty?

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

Q: 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 12 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.

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

On this page

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, maintains 2 additional practice locations, and is a graduate of Vanderbilt University School Of Medicine (2011).

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

Medical School CMSVanderbilt University School Of MedicineGraduated 2011

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

Open in Google Maps ↗

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 CareSource, MedMutual.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

Scott M 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 ID3971720566

PECOS Enrollment IDI20250729004912

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 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 14

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

DR. JACQUELINE DELIA WELTER MD

Pediatrics