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DR. GARY GLENN BOLTON M. D.
NPI 1972620797
Dermatology in Ridgeland, MS

Active since March 25, 2007PECOS Enrolled
0/100
CMS Quality Rating
305 HIGHLAND PARK CV, RIDGELAND, MS 39157(601) 206-9433(601) 206-5428 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary Glenn Bolton M. D. NPPES

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

DR. GARY GLENN BOLTON M. D. (NPI 1972620797) is an individual dermatology provider in Ridgeland, Mississippi, licensed in Mississippi (10243) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1983).

NPPES Registry Identity

NPI1972620797
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. GARY GLENN BOLTONCredential: M. D.
Location Address305 HIGHLAND PARK CVRidgeland, MS 39157-6059
Mailing Address305 Highland Park CvRidgeland, MS 39157-6059 · (601) 206-9433 · Fax (601) 206-5428
Phone(601) 206-9433
Fax(601) 206-5428
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1983
Enumeration DateMarch 25, 2007
Last NPPES UpdateApril 4, 2014
✔ NPI 1972620797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MS · 10243
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
305 HIGHLAND PARK CV, Ridgeland, MS 39157
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Other Identifiers 3

Medicare UPINE27688
Medicare ID-Type Unspecified070000036
Medicaid00111886MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Glenn Bolton M. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395889117
PECOS Enrollment IDI20100217000611
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,294 services489 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
935 services577 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
565 services426 patients
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.
475 services340 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
321 services258 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
191 services127 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39157 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Gary Bolton's NPI number?

The NPI number for Gary Bolton is 1972620797. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Where is Gary Bolton located?

Gary Bolton practices at 305 Highland Park Cv, Ridgeland, MS 39157. The listed phone number is (601) 206-9433.

What is Gary Bolton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Gary Bolton enrolled in Medicare?

Yes. Gary Bolton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Bolton was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.