BROOKS E BOLYARD (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1104921980
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
750 PATHOLOGY in OH
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Provider Addresses for BROOKS E BOLYARD (MD)
5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436141509
Phone: (800) 288-8325
Fax: (419) 866-5453
Type: Mailing
Gonghe Sixth Industrial Park, Gonghe, Shajing Sub-district, Bao'an District, Shenzhen, Guangdong, 518100, China
CANTON, OH 44710
Phone: (330) 438-6311
Fax: (330) 580-5546
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 $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Tempus AI, Inc ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tempus AI, Inc | $30 |
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: 2010-03-12
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 |
|---|---|---|---|---|
| I20100312000028 | I | Pathology | OH | 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 |
|---|---|---|---|---|
| 84165 | Protein measurement, serum | 133 | 111 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 120 | 53 | $0 |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 109 | 76 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 107 | 54 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 54 | 53 | $0 |
Insurance plans in this area (ZIP 43614)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | OH | |
| - | OH | |
| P A T H O L O G Y | OH | |
| - | OH | |
| P A T H O L O G Y | OH |
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