ANDREW BOLTUCH (D.O.) – Orthopaedic Surgery Physician, NPI 1265815450
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for ANDREW BOLTUCH (D.O.)
1300 SE RANCH RD
JUPITER, FL 334782104
Phone:
Type: Mailing
201 14TH ST SW
LARGO, FL 337703133
Phone: (561) 312-4042
Type: Location
430 MORTON PLANT ST STE 301
CLEARWATER, FL 337563395
Phone: (727) 461-6026
Type: Location
5901 E FOWLER AVE STE 100
TEMPLE TERRACE, FL 336172305
Phone: (813) 978-9700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $7,507.
Total Amount is formed as General ($7,507) + Research ($0) + Ownership ($0) = $7,507.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ENCORE MEDICAL, LP ($4,404).
Total Amount
$7,507
General + Research + Ownership
Payments
57
Total payment records
General Amount
$7,507
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ENCORE MEDICAL, LP | $4,404 |
| Stryker Corporation | $1,796 |
| Alphatec Spine, Inc | $171 |
| Coastal Medical Technologies Llc | $166 |
| MVP Orthopedics Inc | $139 |
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: 2020-08-14
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 |
|---|---|---|---|---|
| I20200814001192 | I | Orthopedic Surgery | FL | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 59 | 58 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 45 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 34 | $0 |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 23 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 20 | $0 |
Insurance plans in this area (ZIP 33478)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Orthopedic Surgery | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Orthopedic Surgery | FL | |
| - | FL | |
| Orthopedic Surgery | FL |
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