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 with the weekly NPPES data releases published by CMS.

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: July 19, 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 Augusta Health, 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, and ordering and referring status from the CMS PECOS system.

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.

Areas of Expertise CMS Part B claims 13

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, 30-39 minutes 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.

380 services236 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.

88 services79 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.

83 services83 patients

Fee covid-19 vac 13 res 0124A

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

69 services69 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.

54 services54 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

47 services47 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.

35 services22 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.

30 services29 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.

26 services17 patients

New patient office or other outpatient visit, 45-59 minutes 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

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.

14 services13 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.

14 services14 patients

Adm sarscv2 30mcg trs-sucr b 0054A

This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

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 12

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

DR. ROMAN SACHNO MD

Internal Medicine

40 LAMBERT ST, STE 321
STAUNTON, VA 24401

Staunton City (540) 885-0859

MS. DIANA ALTHEA JENSEN MD

General Practice

40 LAMBERT ST, SUITE 411, STAUNTON MEDICAL CENTER
STAUNTON, VA 24401

Staunton City (540) 886-0827

DR. OCTAVIO DE LOS REYES DO

Family Medicine

40 LAMBERT ST, SUITE 522
STAUNTON, VA 24401

Staunton City (540) 885-3525

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

MS. CHARMI NEELY LCSW

Marriage & Family Therapist

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. THOMAS VINCENT RYAN PHD ABPP CN

Psychologist (Clinical)

40 LAMBERT ST, SUITE 222
STAUNTON, VA 24401

Staunton City (540) 886-3956

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.

Is Grigorii Bouldo affiliated with any hospitals?

According to CMS data, Grigorii Bouldo is affiliated with 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 with the weekly NPPES data releases published by CMS.