DR. DANIEL JEFFREY BOULTER (M.D.) – Diagnostic Radiology Physician, NPI 1114199197
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,805 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for DR. DANIEL JEFFREY BOULTER (M.D.)
395, West Twelfth Avenue, University District District 4, Columbus, Sharon, Franklin, Ohio, 43210, United States
RM 460
COLUMBUS, OH 432101267
Phone: (614) 293-8315
Fax: (614) 293-6935
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.
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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: 2014-06-23
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 |
|---|---|---|---|---|
| I20140623001556 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 70553 | Mri scan of brain before and after contrast | 174 | 167 | $0 |
| 70450 | Ct scan head or brain without contrast | 136 | 129 | $0 |
| 70491 | Ct scan of soft tissue of neck with contrast | 100 | 97 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 45 | 45 | $0 |
| 70551 | Mri scan of brain without contrast | 39 | 39 | $0 |
Insurance plans in this area (ZIP 43210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | OH | |
| Nurse Practitioner | OH | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IL | |
| Interventional Radiology | OH | |
| - | OH |
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