DR. BRIAN DANIEL BOLTON (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1073761128

DR. BRIAN DANIEL BOLTON (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 125-049094 (IL). The NPI Number for DR. BRIAN DANIEL BOLTON (M.D.) is 1073761128

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN DANIEL BOLTON (M.D.)
NPI
1073761128
Phone
(312) 503-8144
Address
303 E CHICAGO AVE
Enumeration Date
3 September 2008
Last Update Date
3 September 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
8476186150
Graduation Year
2005 (21 years ago)
PAC ID
8527237122
Group Practice PAC ID
2567441785
Professional Enrollment ID
I20110817000180
Address ID
IL600052349AR800XXRDXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

766 PATHOLOGY in IL

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Provider Addresses for DR. BRIAN DANIEL BOLTON (M.D.)

  • 303, East Chicago Avenue, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    WARD6-204

    CHICAGO, IL 606114296

    Phone: (312) 503-8144

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

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: 2011-08-17

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
I20110817000180IPathologyILTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity678271$0
88341Special stained specimen slides to examine tissue, each additional procedure11440$0
88342Special stained specimen slides to examine tissue, initial procedure7364$0
88307Pathology examination of tissue using a microscope, moderately high complexity6129$0
88360Microscopic genetic analysis of tumor, manual5516$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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Provider's Procedures

DR. BRIAN DANIEL BOLTON (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIL88304Pathology examination of tissue using a microscope, moderately low complexity175162
PATHOLOGYIL88307Pathology examination of tissue using a microscope, moderately high complexity198110
PATHOLOGYIL88342Tissue or cell analysis by immunologic technique151128

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: 2567441785View full group profile
NameSpecialtyState
-IL
-IL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL

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Frequently asked questions

What number should I use to identify DR. BRIAN DANIEL BOLTON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1073761128 for DR. BRIAN DANIEL BOLTON (M.D.).
Is DR. BRIAN DANIEL BOLTON (M.D.)'s NPI status active today?
Active status means DR. BRIAN DANIEL BOLTON (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. BRIAN DANIEL BOLTON (M.D.) provide?
DR. BRIAN DANIEL BOLTON (M.D.)'s profile centers on Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRIAN DANIEL BOLTON (M.D.) tied to Chicago, Illinois?
If you are local to Chicago, Illinois, DR. BRIAN DANIEL BOLTON (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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