JERRY JOE BOLEY (M.D.) – Cardiovascular Disease Physician, NPI 1962465435

JERRY JOE BOLEY (M.D.) is a healthcare provider. based in Celina, Ohio. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 35070190B (OH). The NPI Number for JERRY JOE BOLEY (M.D.) is 1962465435

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JERRY JOE BOLEY (M.D.)
NPI
1962465435
Phone
(614) 580-8563
Address
4112 MONROE RD
Enumeration Date
7 April 2006
Last Update Date
11 March 2014

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5678909000
Graduation Year
1990 (36 years ago)
PAC ID
0244304145
Professional Enrollment ID
I20080809000150
Address ID
OH458229250CE4112XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,508 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OH

Provider Addresses for JERRY JOE BOLEY (M.D.)

  • 4112 MONROE RD

    CELINA, OH 458289250

    Phone: (614) 580-8563

    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)

CMS reports 151 Open Payments records for all available years, with a total value of $2,266.

Total Amount is formed as General ($2,266) + Research ($0) + Ownership ($0) = $2,266.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($525).

Total Amount

$2,266

General + Research + Ownership

Payments

151

Total payment records

General Amount

$2,266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2008-08-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080809000150ICardiovascular Disease (Cardiology)OHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2,3381,484$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,033943$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only880510$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function446430$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days413199$0
View full utilization report →

Insurance plans in this area (ZIP 45828)

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Reviews

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Frequently asked questions

Can I cross-check JERRY JOE BOLEY (M.D.) using NPI 1962465435?
NPI 1962465435 belongs to JERRY JOE BOLEY (M.D.); compare other details if you need extra assurance.
Is there an active status for JERRY JOE BOLEY (M.D.)?
For scheduling context, JERRY JOE BOLEY (M.D.) is shown as active in the registry.
What kind of doctor is JERRY JOE BOLEY (M.D.)?
JERRY JOE BOLEY (M.D.) is associated with Cardiovascular Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JERRY JOE BOLEY (M.D.)?
Travel planning: use Celina, Ohio as the reference point for JERRY JOE BOLEY (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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