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

Q: 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.

Q: What is Derek Bolt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Bolt was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: October 18, 2026.

On this page

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Derek Bolt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherokee Nation

0.3 mi

General Acute Care Hospital

19780 E. ROSS STREET
Tahlequah, OK 74464

Reassigned Medicare billing, Texas enrollment
1,047 clinicians in this Medicare group

NPI 1275799645 (539) 355-1000

Hospital Care Consultants Region II Inc

273 mi

Internal Medicine

200 W TYLER AVE
West Memphis, AR 72301

Reassigned Medicare billing, Oklahoma enrollment
79 clinicians in this Medicare group

NPI 1558491449 (870) 735-1500

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 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

Quality

61.59

Promoting Interoperability

Improvement Activities

Cost

65.11

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