MARK JAMES BOLTON (M.D.) – General Practice Physician, NPI 1790785152
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for MARK JAMES BOLTON (M.D.)
8703, Belworth Square, New Albany, Plain Township, Ohio, 43054, United States
NEW ALBANY, OH 430549074
Phone: (614) 313-6112
Type: Mailing
420, James Road, Mayfair, Columbus, Franklin, Ohio, 43213, United States
COLUMBUS, OH 432191834
Phone: (614) 257-5000
Type: Location
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: 2023-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20050729000267 | I | Emergency Medicine | CA | TBD |
| I20140416000449 | I | Emergency Medicine | KY | TBD |
| I20171026001918 | I | Emergency Medicine | ID | TBD |
| I20230801002176 | I | Family Practice | AZ | TBD |
| I20230905002421 | I | Family Practice | NM | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 40 | 40 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 43054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| General Surgery | AZ | |
| Emergency Medicine | AZ | |
| Family Practice | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| P O D I A T R Y | AZ |
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