DR. CHESTER MCBRIDE JR. BOLTWOOD (MD) – Interventional Cardiology Physician, NPI 1669415303
Interventional Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for DR. CHESTER MCBRIDE JR. BOLTWOOD (MD)
Kaiser Permanente Modesto Medical Center and Medical Offices, 4601, Dale Road, Modesto, Stanislaus County, California, 95356, United States
MODESTO, CA 953569718
Phone: (209) 735-4287
Fax: (209) 735-4283
Type: Mailing
4603, Dale Road, Modesto, Stanislaus County, California, 95356, United States
KAISER PERMANENTE MEDICAL OFFICES
MODESTO, CA 953577680
Phone: (209) 735-4287
Fax: (209) 735-4283
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $302.
Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Abbott Laboratories ($163).
Total Amount
$302
General + Research + Ownership
Payments
4
Total payment records
General Amount
$302
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $163 |
| Teleflex LLC | $93 |
| ABIOMED | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070606000651 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 18 | 18 | $0 |
Insurance plans in this area (ZIP 95356)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| Colorectal Surgery (Proctology), General Surgery | LA | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA |
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