DR. PHILIP L. BOLTON (D.C.) – Chiropractor, NPI 1336179225

DR. PHILIP L. BOLTON (D.C.) is a healthcare provider. based in Bloomington, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 0038-003600 (IL). The NPI Number for DR. PHILIP L. BOLTON (D.C.) is 1336179225

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP L. BOLTON (D.C.)
NPI
1336179225
Phone
(309) 662-7788
Address
211 S PROSPECT RD STE 5
Enumeration Date
4 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
3096627788
Graduation Year
1975 (51 years ago)
PAC ID
1951564657
Professional Enrollment ID
I20120516000389
Address ID
IL617044907BL211XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. PHILIP L. BOLTON (D.C.)

  • South Prospect Road, Oakland Suburban Heights, Bloomington, McLean County, Illinois, 61704, United States

    BLOOMINGTON, IL 617044907

    Phone: (309) 662-7788

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-05-16

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
I20120516000389IChiropracticILTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions62062$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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Reviews

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Frequently asked questions

How is DR. PHILIP L. BOLTON (D.C.) identified in CMS data?
CMS-hosted NPPES data lists DR. PHILIP L. BOLTON (D.C.) with NPI 1336179225.
Does the file indicate DR. PHILIP L. BOLTON (D.C.) is practicing under active NPI?
Directory data currently reports DR. PHILIP L. BOLTON (D.C.) as active.
What is DR. PHILIP L. BOLTON (D.C.)'s specialty?
The listing groups DR. PHILIP L. BOLTON (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What area does DR. PHILIP L. BOLTON (D.C.) serve?
DR. PHILIP L. BOLTON (D.C.)'s listing highlights Bloomington, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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