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

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: August 16, 2026.

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
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

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 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

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 10

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

Psychologist (Clinical)
40 LAMBERT ST, STE 222
STAUNTON, VA 24401
Family Medicine
40 LAMBERT ST, SUITE 522
STAUNTON, VA 24401
Social Worker
40 LAMBERT ST, SUITE 222
STAUNTON, VA 24401
Social Worker (Clinical)
40 LAMBERT ST, SUITE 222
STAUNTON, VA 24401
Family Medicine
40 LAMBERT ST, SUITE 522
STAUNTON, VA 24401
Physician Assistant
40 LAMBERT ST, SUITE 522
STAUNTON, VA 24401
Marriage & Family Therapist
40 LAMBERT ST, SUITE 222
STAUNTON, VA 24401
Internal Medicine
40 LAMBERT ST, STE 321
STAUNTON, VA 24401

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.