BETSY JO BOLTON (PA-C) – Surgical Physician Assistant, NPI 1144574997
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for BETSY JO BOLTON (PA-C)
12499 UNIVERSITY AVE STE 210
CLIVE, IA 503258288
Phone: (515) 440-2676
Fax: (515) 440-2677
Type: Location
455 N SIOUX POINT RD
DAKOTA DUNES, SD 570495327
Phone: (605) 217-7000
Fax: (605) 217-7015
Type: Location
2425 WESTOWN PKWY STE 100
WEST DES MOINES, IA 502661425
Phone: (515) 267-1819
Fax: (515) 401-1313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $511.
Total Amount is formed as General ($511) + Research ($0) + Ownership ($0) = $511.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($240).
Total Amount
$511
General + Research + Ownership
Payments
20
Total payment records
General Amount
$511
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $240 |
| Relievant Medsystems, Inc. | $141 |
| SPR Therapeutics, Inc | $45 |
| BIOTRONIK NRO, Inc. | $41 |
| Heron Therapeutics, Inc. | $16 |
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: 2013-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130128000426 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 613 | 328 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 286 | 114 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 114 | 70 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 82 | 60 | $0 |
Insurance plans in this area (ZIP 50325)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| Physical Medicine And Rehabilitation | IA | |
| - | IA | |
| P O D I A T R Y | IA | |
| Physical Therapist In Private Practice | MO | |
| P O D I A T R Y | IA | |
| Orthopedic Surgery, General Surgery | IA | |
| Sports Medicine, Family Practice | SD | |
| - | IA |
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