MARK BOULWARE (M.D.) – Interventional Cardiology Physician, NPI 1437375318

MARK BOULWARE (M.D.) is a healthcare provider. based in Loveland, Colorado. specializing in INTERVENTIONAL CARDIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2006-01834 (NC). The NPI Number for MARK BOULWARE (M.D.) is 1437375318

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MARK BOULWARE (M.D.)
NPI
1437375318
Phone
(970) 624-4443
Address
2695 ROCKY MOUNTAIN AVE
Enumeration Date
18 April 2007
Last Update Date
10 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
7207335260
Graduation Year
2003 (23 years ago)
PAC ID
8921277559
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20150226001373
Address ID
CO801047419CA4404XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

138 INTERVENTIONAL CARDIOLOGY in CO

Provider Addresses for MARK BOULWARE (M.D.)

  • 2695 ROCKY MOUNTAIN AVE

    SUITE 150

    LOVELAND, CO 805388702

    Phone: (970) 624-4443

    Fax: (970) 490-4175

    Type: Mailing

  • 1400 E BOULDER ST

    SUITE 700

    COLORADO SPRINGS, CO 809095533

    Phone: (719) 635-7172

    Fax: (719) 444-3717

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($39).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-02-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150226001373IInterventional CardiologyCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes347261$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report328278$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function307300$0
93793Anticoagulant management of patient taking warfarin22816$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only213197$0
View full utilization report →

Insurance plans in this area (ZIP 80538)

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Provider's Procedures

MARK BOULWARE (M.D.) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYCO92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin4136
INTERVENTIONAL CARDIOLOGYCO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1717
INTERVENTIONAL CARDIOLOGYCO93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart6666

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile

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Frequently asked questions

What federal number belongs to MARK BOULWARE (M.D.)?
The federal identifier for MARK BOULWARE (M.D.) is NPI 1437375318.
Is MARK BOULWARE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MARK BOULWARE (M.D.) treat or focus on?
Patients typically see MARK BOULWARE (M.D.) under the specialty Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARK BOULWARE (M.D.)?
We surface Loveland, Colorado for MARK BOULWARE (M.D.) based on available NPPES addresses.
Is MARK BOULWARE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1437375318. Always confirm identity and privileges with the practice and licensing boards.

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