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DEREK BOLT D.O.
NPI 1881147882
Emergency Medicine in Tahlequah, OK

Active since July 27, 2016PECOS Enrolled
78.75/100
CMS Quality Rating
100 S BLISS AVE, TAHLEQUAH, OK 74464(918) 458-3104 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derek Bolt D.o. NPPES

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

DEREK BOLT D.O. (NPI 1881147882) is an individual emergency medicine provider in Tahlequah, Oklahoma, licensed in Oklahoma (6143) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881147882
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDEREK BOLTCredential: D.O.
Location Address100 S BLISS AVETahlequah, OK 74464-2512
Mailing Address100 S Bliss AveTahlequah, OK 74464-2512 · (405) 880-4596
Phone(918) 458-3104
Sole ProprietorNo
Enumeration DateJuly 27, 2016
Last NPPES UpdateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1881147882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 6143
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

100 S BLISS AVE, Tahlequah, OK 74464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Bolt D.o. 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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
144 services137 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
121 services98 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
39 services38 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

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.

PATRICK WAYNE SHARP DO
Emergency Medicine
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (189) 458-3100
HASTINGS INDIAN MEDICAL CENTER
General Acute Care Hospital (Rural)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
DR. ADAM K RICHARDS DPT
Physical Therapist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3491
JACOB EDWARD DICKERSON DNAP
Nurse Anesthetist, Certified Registered
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
DR. BARINDER PAUL BASSI DPM
Podiatrist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-3780
DR. STEVEN RAY SCOTT PHARMD
Pharmacist (Pharmacotherapy)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3100
MRS. CHERYL DELORES TARVER CNM
Advanced Practice Midwife
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3343
DR. GERALD RAY BROWN JR. PHARMD
Pharmacist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-3207

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 Derek Bolt's NPI number?

The NPI number for Derek Bolt is 1881147882. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Where is Derek Bolt located?

Derek Bolt practices at 100 S Bliss Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-3104.

What is Derek Bolt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Derek Bolt enrolled in Medicare?

Yes. Derek Bolt is registered in the Medicare PECOS enrollment system.

What insurance does Derek Bolt accept?

Health plans from Mending Health list Derek Bolt 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 Derek Bolt was last updated on October 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.