SCOTT M BOLTON (M.D.) – Pediatric Gastroenterology Physician, NPI 1831489996
Pediatric Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
864 GASTROENTEROLOGY in OH
Provider Addresses for SCOTT M BOLTON (M.D.)
3333 BURNET AVENUE
ML 2010
CINCINNATI, OH 452293026
Phone: (513) 636-4415
Fax: (513) 636-7805
Type: Mailing
3232 LAKE AVE STE 330
WILMETTE, IL 600911085
Phone: (847) 570-1795
Fax: (847) 503-4590
Type: Location
3333 Burnet Avenue
ML 5018
Cincinnati, OH 45229
Phone: (513) 636-4315
Fax: (513) 636-7905
Type: Location
830 W End Ct Ste 500
Vernon Hills, IL 600611379
Phone: (847) 570-1795
Fax: (847) 503-4590
Type: Location
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone:
Type: Mailing
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: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180703003101 | I | Gastroenterology | OH | TBD |
| I20250729004912 | I | Gastroenterology | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45229)
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Group practice members
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