PATRICK BOLTON (D.O.) – Anesthesiology Physician, NPI 1215361902

PATRICK BOLTON (D.O.) is a healthcare provider. based in Saint louis, Missouri. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 2013020662 (MO). The NPI Number for PATRICK BOLTON (D.O.) is 1215361902

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK BOLTON (D.O.)
NPI
1215361902
Phone
Not provided
Address
2345 DOUGHERTY FERRY RD
Enumeration Date
29 August 2013
Last Update Date
29 August 2013

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
2565465281
Graduation Year
2013 (13 years ago)
PAC ID
8628377207
Group Practice PAC ID
3476570870
Professional Enrollment ID
I20171010000902
Address ID
AL359015304GA600XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,228 ANESTHESIOLOGY in MO

Provider Addresses for PATRICK BOLTON (D.O.)

  • 2345 DOUGHERTY FERRY RD

    SAINT LOUIS, MO 631223313

    Phone:

    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: 2017-10-10

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
I20171010000902IAnesthesiologyALTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope9493$0
00813Anesthesia for procedure on small and large bowel using an endoscope4040$0
00811Anesthesia for other procedure on large bowel using an endoscope4040$0
00400Anesthesia for other procedure on skin of arms, legs, and front body2522$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2020$0
View full utilization report →

Insurance plans in this area (ZIP 63122)

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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: 3476570870View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)AL
-AL
-MO
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
-AL

Reviews

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Frequently asked questions

Where can patients find PATRICK BOLTON (D.O.)'s NPI?
You can confirm PATRICK BOLTON (D.O.) with NPI 1215361902; it appears in the national provider directory.
Is PATRICK BOLTON (D.O.) currently active in the NPI registry?
CMS-published data lists PATRICK BOLTON (D.O.) as an active registrant.
Does PATRICK BOLTON (D.O.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for PATRICK BOLTON (D.O.). Clinical services aligned with this taxonomy classification.
Where is PATRICK BOLTON (D.O.)'s primary listing?
We display Saint Louis, Missouri because that is what the record indicates for PATRICK BOLTON (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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