SIDNEY JEFFERSON III BOLCH (M.D.) – Cardiovascular Disease Physician, NPI 1639177595

SIDNEY JEFFERSON III BOLCH (M.D.) is a healthcare provider. based in Savannah, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 016876 (GA). The NPI Number for SIDNEY JEFFERSON III BOLCH (M.D.) is 1639177595

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
SIDNEY JEFFERSON III BOLCH (M.D.)
NPI
1639177595
Phone
(912) 527-5300
Address
1326 EISENHOWER DR
Enumeration Date
13 July 2005
Last Update Date
25 June 2008

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9125275300
Graduation Year
1974 (52 years ago)
PAC ID
0143287714
Group Practice PAC ID
1052607371
Professional Enrollment ID
I20100728000683
Address ID
GA314063928SA1326XDRXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for SIDNEY JEFFERSON III BOLCH (M.D.)

  • 1326, Eisenhower Drive, Highland Park, Savannah, Chatham County, Georgia, 31406, United States

    BLDG. 2

    SAVANNAH, GA 314063928

    Phone: (912) 527-5300

    Fax: (912) 527-5149

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $1,408.

Total Amount is formed as General ($1,408) + Research ($0) + Ownership ($0) = $1,408.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($194).

Total Amount

$1,408

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2010-07-28

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
I20100728000683ICardiovascular Disease (Cardiology)GATBD

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 minutes1,416496$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report797494$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician204203$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14764$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function140130$0
View full utilization report →

Insurance plans in this area (ZIP 31406)

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Provider's Procedures

SIDNEY JEFFERSON III BOLCH (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA83036Hemoglobin A1C level2019

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: 1052607371View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyGA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
-GA
Nurse PractitionerGA

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Frequently asked questions

Is there an official ID for SIDNEY JEFFERSON III BOLCH (M.D.) in U.S. healthcare records?
The official identifier for SIDNEY JEFFERSON III BOLCH (M.D.) is NPI 1639177595.
Is there an active status for SIDNEY JEFFERSON III BOLCH (M.D.)?
For scheduling context, SIDNEY JEFFERSON III BOLCH (M.D.) is shown as active in the registry.
How would a patient describe SIDNEY JEFFERSON III BOLCH (M.D.)'s focus?
For SIDNEY JEFFERSON III BOLCH (M.D.), the primary taxonomy reads as Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is SIDNEY JEFFERSON III BOLCH (M.D.) registered?
Use Savannah, Georgia as the headline location for SIDNEY JEFFERSON III BOLCH (M.D.) here.
When was this NPI issued?
Enumeration for SIDNEY JEFFERSON III BOLCH (M.D.) is noted as July 13, 2005 where the registry provides it.

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