DR. JACOB RYAN BOLLING DPM
NPI 1942822911
Podiatrist in Worcester, MA

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment
95 VERNON ST, WORCESTER, MA 01610(508) 755-2466 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Oct 2, 2023, Jul 20, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Jacob Ryan Bolling Dpm NPPES

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

DR. JACOB RYAN BOLLING DPM (NPI 1942822911) is an individual podiatrist in Worcester, Massachusetts, licensed in Massachusetts (PDF2545) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1942822911
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. JACOB RYAN BOLLINGCredential: DPM
Location Address95 VERNON STWorcester, MA 01610-1988
Mailing AddressPo Box 34666Belfast, ME 04915-0624 · (508) 755-2466 · Fax (508) 755-6883
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2020
Enumeration DateMay 13, 2020
Last NPPES UpdateSeptember 27, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1942822911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MA · PDF2545
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 2545 (MA)
95 VERNON ST, Worcester, MA 01610

Secondary Practice Location 1

Location 1201 Highland StClinton, MA 01510-1037 · Phone (508) 755-2466 · Fax (508) 755-6883

Accepted Insurance

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

Dr. Jacob Ryan Bolling Dpm 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 ID9830553957
PECOS Enrollment IDI20241213003142
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services33 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
30 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01610 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 3

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

Podiatrist
95 VERNON ST
WORCESTER, MA 01610
Podiatrist (Foot Surgery)
95 VERNON ST
WORCESTER, MA 01610
Urology
95 VERNON ST, SUITE 202
WORCESTER, MA 01610

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 Jacob Bolling's NPI number?

The NPI number for Jacob Bolling is 1942822911. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Jacob Bolling located?

Jacob Bolling practices at 95 Vernon St, Worcester, MA 01610. The listed phone number is (508) 755-2466.

What is Jacob Bolling's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jacob Bolling enrolled in Medicare?

Yes. Jacob Bolling 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.

What insurance does Jacob Bolling accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacob Bolling 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.

Is Jacob Bolling affiliated with any hospitals?

According to CMS data, Jacob Bolling is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Bolling was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.