MICHAEL J BOLAND (MD) – Cardiovascular Disease Physician, NPI 1104867936

MICHAEL J BOLAND (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 6387 (MS). The NPI Number for MICHAEL J BOLAND (MD) is 1104867936

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J BOLAND (MD)
NPI
1104867936
Phone
(901) 227-4068
Address
PO BOX 405827
Enumeration Date
10 June 2006
Last Update Date
7 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6622563564
Graduation Year
1972 (54 years ago)
PAC ID
4284602905
Group Practice PAC ID
2961745195
Professional Enrollment ID
I20040921000576
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for MICHAEL J BOLAND (MD)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303845827

    Phone: (901) 227-4068

    Fax: (901) 227-4051

    Type: Mailing

  • 255, Baptist Boulevard, Briarwood, Columbus, Lowndes County, Mississippi, 39705, United States

    SUITE 402

    COLUMBUS, MS 39705

    Phone: (662) 240-1412

    Fax: (662) 240-1949

    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 $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2023-04-24 • Largest payer in this snapshot: Boston Scientific Corporation ($46).

Total Amount

$85

General + Research + Ownership

Payments

3

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-24

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: 2004-09-21

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
I20040921000576ICardiovascular Disease (Cardiology)MSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9684$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function8684$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician2929$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect2323$0
View full utilization report →

Insurance plans in this area (ZIP 30384)

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Provider's Procedures

MICHAEL J BOLAND (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MS93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report9887

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: 2961745195View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Family PracticeMS
Nurse PractitionerMS
Family PracticeMS
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerMS

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL J BOLAND (MD) in U.S. healthcare records?
The official identifier for MICHAEL J BOLAND (MD) is NPI 1104867936.
Is MICHAEL J BOLAND (MD) shown as active in public data?
Registry records indicate MICHAEL J BOLAND (MD) maintains an active NPI.
What expertise is attributed to MICHAEL J BOLAND (MD)?
MICHAEL J BOLAND (MD)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL J BOLAND (MD) associated with Atlanta?
Public fields place MICHAEL J BOLAND (MD) around Atlanta, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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