DR. JACOB RYAN BOLLING (DPM) – Podiatrist, NPI 1942822911

DR. JACOB RYAN BOLLING (DPM) is a healthcare provider. based in Worcester, Massachusetts. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2545 (MA). The NPI Number for DR. JACOB RYAN BOLLING (DPM) is 1942822911

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB RYAN BOLLING (DPM)
NPI
1942822911
Phone
(508) 755-2466
Address
95 VERNON ST
Enumeration Date
13 May 2020
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5087552466
Graduation Year
2020 (6 years ago)
PAC ID
9830553957
Group Practice PAC ID
4880759695
Professional Enrollment ID
I20241213003142
Address ID
MA016101988WO95XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

386 PODIATRY in MA

Provider Addresses for DR. JACOB RYAN BOLLING (DPM)

  • 95 VERNON ST

    WORCESTER, MA 016101988

    Phone: (508) 755-2466

    Type: Location

  • 201 Highland St

    Clinton, MA 015101037

    Phone: (508) 755-2466

    Fax: (508) 755-6883

    Type: Location

  • 101 SPITHEAD RD

    WATERFORD, CT 063851918

    Phone: (860) 389-0611

    Type: Mailing

  • 123 SUMMER ST

    WORCESTER, MA 016081216

    Phone: (508) 363-6350

    Type: Location

  • PO BOX 34666

    BELFAST, ME 049150624

    Phone: (508) 755-2466

    Fax: (508) 755-6883

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Organogenesis Inc. ($135).

Total Amount

$366

General + Research + Ownership

Payments

8

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2024-12-13

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
I20241213003142IPodiatryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01610)

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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: 4880759695View full group profile
NameSpecialtyState
P O D I A T R YMA

Reviews

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Frequently asked questions

What number should I use to identify DR. JACOB RYAN BOLLING (DPM) for billing?
Administrative and clinical systems typically use NPI 1942822911 for DR. JACOB RYAN BOLLING (DPM).
Does the public listing show DR. JACOB RYAN BOLLING (DPM) as active?
DR. JACOB RYAN BOLLING (DPM)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. JACOB RYAN BOLLING (DPM)'s specialty?
The extract shows Podiatrist for DR. JACOB RYAN BOLLING (DPM). Clinical services aligned with this taxonomy classification.
What city is tied to DR. JACOB RYAN BOLLING (DPM)?
The directory associates DR. JACOB RYAN BOLLING (DPM) with Worcester, Massachusetts. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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