DR. NATHANIEL ADAM BOLEN (O.D.) – Optometrist, NPI 1609057710
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
338 OPTOMETRY in NE
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Provider Addresses for DR. NATHANIEL ADAM BOLEN (O.D.)
1918, West 5th Street, Bonnavilla and Eastgate Mobile Home Park, Hastings, Adams County, Nebraska, 68901, United States
HASTINGS, NE 689014704
Phone: (308) 440-3837
Type: Mailing
1414, West 12th Street, Hastings, Adams County, Nebraska, 68901, United States
HASTINGS, NE 689013742
Phone: (402) 462-9191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($40).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $40 |
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: 2008-08-04
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 |
|---|---|---|---|---|
| I20080804000536 | I | Optometry | NE | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 352 | 288 | $0 |
| 92014 | Established patient complete exam of visual system | 172 | 163 | $0 |
| 92134 | Imaging of retina | 122 | 111 | $0 |
| 92133 | Imaging of optic nerve | 97 | 96 | $0 |
| 92083 | Exam of visual field with extended testing | 55 | 54 | $0 |
Insurance plans in this area (ZIP 68901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | NE | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 394 | 306 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NE |
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