DR. JOHN ROBERT BUCHOLTZ DO
NPI 1861411746
Family Medicine in Columbus, GA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
1800 10TH AVE, COLUMBUS, GA 31901(706) 571-1120 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Robert Bucholtz Do NPPES

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

DR. JOHN ROBERT BUCHOLTZ DO (NPI 1861411746) is an individual family medicine provider in Columbus, Georgia, licensed in Georgia (025116) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Philadelphia College Of Osteopathic Medicine (1982).

NPPES Registry Identity

NPI1861411746
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN ROBERT BUCHOLTZCredential: DO
Location Address1800 10TH AVEColumbus, GA 31901-1513
Mailing AddressPo Box 1038Columbus, GA 31902-1038 · (706) 571-1120
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1982
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 29, 2012
NPI 1861411746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 025116
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1800 10TH AVE, Columbus, GA 31901

Other Identifiers 6

Medicaid00381884CGA
Medicare PIN08BDDNJGA
Medicaid000381884FGA
Medicaid009934956AL
Medicare PIN08CBBFBGA
Medicare UPINE16139GA

Accepted 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

Dr. John Robert Bucholtz Do 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 ID3173545712
PECOS Enrollment IDI20051227000199
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services31 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers18 claims33 services$3.32 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$35.11 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.

Pharmacy (Community/Retail Pharmacy)
1800 10TH AVE
COLUMBUS, GA 31901
Family Medicine
1800 10TH AVE
COLUMBUS, GA 31901
Family Medicine
1800 10TH AVE
COLUMBUS, GA 31901
Student in an Organized Health Care Education/Training Program
1800 10TH AVE
COLUMBUS, GA 31901
Family Medicine
1800 10TH AVE
COLUMBUS, GA 31901
Family Medicine
1800 10TH AVE
COLUMBUS, GA 31901
Student in an Organized Health Care Education/Training Program
1800 10TH AVE
COLUMBUS, GA 31901
Family Medicine
1800 10TH AVE
COLUMBUS, GA 31901

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 John Bucholtz's NPI number?

The NPI number for John Bucholtz is 1861411746. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is John Bucholtz located?

John Bucholtz practices at 1800 10th Ave, Columbus, GA 31901. The listed phone number is (706) 571-1120.

What is John Bucholtz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Bucholtz enrolled in Medicare?

Yes. John Bucholtz 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.

What insurance does John Bucholtz accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list John Bucholtz 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 John Bucholtz affiliated with any hospitals?

According to CMS data, John Bucholtz is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for John Bucholtz was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.