DR. DANIEL PAUL BOLTON M.D
NPI 1861870933
Surgery - Trauma Surgery in Harlingen, TX

Q: What is Daniel Bolton's NPI number?

The NPI number for Daniel Bolton is 1861870933. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Daniel Bolton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Bolton was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 11, 2015PECOS EnrolledAccepts Medicare Assignment

81.44/100

CMS Quality Rating

2121 PEASE ST STE 600, HARLINGEN, TX 78550(956) 215-8520 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2025, Oct 11, 2022 (2 updates tracked since 2022).

On this page

About Dr. Daniel Paul Bolton M.d NPPES

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

DR. DANIEL PAUL BOLTON M.D (NPI 1861870933) is an individual trauma surgery provider in Harlingen, Texas, licensed in Texas (U0078) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and maintains a secondary practice location in Harlingen.

NPPES Registry Identity

NPI1861870933

Entity TypeIndividualMale

Primary Taxonomy2086S0127X

Provider Legal NameDR. DANIEL PAUL BOLTONCredential: M.D

Location Address2121 PEASE ST STE 600Harlingen, TX 78550-8326

Mailing AddressPo Box 5730Belfast, ME 04915-5700 · Fax (956) 440-9801

Phone(956) 215-8520

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 11, 2015

Last NPPES UpdateJune 6, 20252 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1861870933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

License✔ Licensed in TX · U0078

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License U0078 (TX)

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License U0078 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2121 PEASE ST STE 600, Harlingen, TX 78550

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Secondary Practice Location 1

Location 1614 Maco DrHarlingen, TX 78550-8450 · Phone (956) 440-9110 · Fax (956) 440-9801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Dr. Daniel Paul 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 ID3971886177

PECOS Enrollment IDI20221017000280

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 Reassignment

Medicare enrollment records show Daniel Bolton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bhs Physicians Network, Inc

243 mi

Family Medicine

502 MADISON OAK DR STE 310
San Antonio, TX 78258

Reassigned Medicare billing, Texas enrollment
964 clinicians in this Medicare group

NPI 1598958431 (210) 483-8883

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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

55 services39 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

48 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services20 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450033

Location2101 Pease StHarlingen, TX 78550 · Cameron County

Emergency services Birthing friendly

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.

81.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.83

Promoting Interoperability

Improvement Activities

Cost

49.23

Other Providers at the Same Location NPPES 6

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

DR. HENRY ALFRED REINHART III MD

Surgery