GRIGORII GENNADIYOUYCH BOULDO D.O.
NPI 1912260787
Family Medicine in Staunton, VA

Q: What is Grigorii Bouldo's NPI number?

The NPI number for Grigorii Bouldo is 1912260787. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Grigorii Bouldo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grigorii Bouldo was last updated on September 5, 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 June 18, 2012PECOS EnrolledAccepts Medicare Assignment

40 LAMBERT ST, STAUNTON, VA 24401(540) 885-3525(540) 886-5935 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Grigorii Gennadiyouych Bouldo D.o. NPPES

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

GRIGORII GENNADIYOUYCH BOULDO D.O. (NPI 1912260787) is an individual family medicine provider in Staunton, Virginia, licensed in Virginia (0116025455) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912260787

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGRIGORII GENNADIYOUYCH BOULDOCredential: D.O.

Location Address40 LAMBERT STStaunton, VA 24401-2446

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713

Phone(540) 885-3525

Fax(540) 886-5935

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 18, 2012

Last NPPES UpdateSeptember 5, 2023

NPPES CertifiedSeptember 5, 2023

✔ NPI 1912260787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0116025455

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.

40 LAMBERT ST, Staunton, VA 24401

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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

Grigorii Gennadiyouych Bouldo D.o. 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 ID7113324682

PECOS Enrollment IDI20210927000266

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 Grigorii Bouldo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Healthcare Corporation

78 mi

Multi-Specialty

213 S JEFFERSON ST STE 1006
Roanoke, VA 24011

Reassigned Medicare billing, Virginia enrollment
956 clinicians in this Medicare group

NPI 1447206370 (540) 224-5452

Carilion Medical Center

79 mi

Multi-Specialty

1906 BELLEVIEW AVE SE
Roanoke, VA 24014

Reassigned Medicare billing, Virginia enrollment
1,207 clinicians in this Medicare group

NPI 1730123472 (540) 981-7000

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 17

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.

489 services231 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

176 services133 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

89 services89 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services35 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

40 services27 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

28 services23 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

26 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

24 services24 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services21 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

21 services19 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

20 services20 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services15 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

16 services15 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490004

Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County

Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490018

Location78 Medical Center DriveFishersville, VA 22939 · Augusta County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24401 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 10

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

BLUE RIDGE NEUROPSYCHOLOGY PC

Psychologist (Clinical)

40 LAMBERT ST, STE 222
STAUNTON, VA 24401

Staunton City (540) 886-3956

LEON E LENKER MD

Family Medicine

40 LAMBERT ST, SUITE 522
STAUNTON, VA 24401

Staunton City (540) 885-3525

MR. MARK MORGAN ROEBUCK LCSW

Social Worker

40 LAMBERT ST, SUITE 222
STAUNTON, VA 24401

Staunton City (540) 886-3956

MRS. PENELOPE ANN CRITZER MSW,L.C.S.W

Social Worker (Clinical)

40 LAMBERT ST, SUITE 222
STAUNTON, VA 24401

Staunton City (540) 886-3956

DR. OCTAVIO DE LOS REYES DO

Family Medicine

40 LAMBERT ST, SUITE 522
STAUNTON, VA 24401

Staunton City (540) 885-3525

MR. BARRY LEE MUNSEY PA

Physician Assistant

40 LAMBERT ST, SUITE 522
STAUNTON, VA 24401

Staunton City (540) 885-3525

MS. CHARMI NEELY LCSW

Marriage & Family Therapist

40 LAMBERT ST, SUITE 222
STAUNTON, VA 24401

Staunton City (540) 886-3956

DR. ROMAN SACHNO MD

Internal Medicine

40 LAMBERT ST, STE 321
STAUNTON, VA 24401

Staunton City (540) 885-0859

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 Grigorii Bouldo's NPI number?

The NPI number for Grigorii Bouldo is 1912260787. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Grigorii Bouldo located?

Grigorii Bouldo practices at 40 Lambert St, Staunton, VA 24401. The listed phone number is (540) 885-3525.

What is Grigorii Bouldo's specialty?

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

Is Grigorii Bouldo enrolled in Medicare?

Yes. Grigorii Bouldo 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.

Which organizations bill Medicare for Grigorii Bouldo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grigorii Bouldo reassigns Medicare benefits to 2 organizations: Carilion Healthcare Corporation (Roanoke, VA) and Carilion Medical Center (Roanoke, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grigorii Bouldo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Grigorii Bouldo affiliated with any hospitals?

According to CMS data, Grigorii Bouldo is affiliated with Sentara Rmh Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for Grigorii Bouldo was last updated on September 5, 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.