GORDON BOLLES (NP) – Nurse Practitioner, NPI 1013538461
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,202 NURSE PRACTITIONER in NY
Provider Addresses for GORDON BOLLES (NP)
ELM AND CARLTON STREETS
BUFFALO, NY 142630001
Phone: (716) 845-2300
Type: Mailing
425 ESSJAY RD STE 170
WILLIAMSVILLE, NY 142218235
Phone: (716) 630-1219
Type: Mailing
100 HIGH ST
BUFFALO, NY 142031126
Phone: (716) 859-5600
Type: Location
2605 Harlem Rd
Cheektowaga, NY 142254018
Phone: (716) 891-2400
Type: Location
565 Abbott Rd
Buffalo, NY 142202095
Phone: (716) 826-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-03-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $17 |
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: 2020-06-19
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200619001390 | I | Nurse Practitioner | NY | 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 |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 111 | 35 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 84 | 56 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 70 | 29 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 25 | 25 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 14263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Physician Assistant | NY | |
| Nurse Practitioner | NY | |
| - | NY | |
| Internal Medicine | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| Interventional Cardiology | NY | |
| Thoracic Surgery, Internal Medicine | NY | |
| - | NY |
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