DR. TIMOTHY BOLEY (M.D.) – Neonatal-Perinatal Medicine Physician, NPI 1871569210
Neonatal-Perinatal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TIMOTHY BOLEY (M.D.)
1575 Highlands Dr Ste 101
Lititz, PA 175437507
Phone: (717) 625-1370
Type: Location
420 S 5th Ave
West Reading, PA 196112143
Phone: (484) 628-8972
Fax: (484) 628-9292
Type: Location
100 S 2ND ST STE 4B
HARRISBURG, PA 171012546
Phone:
Type: Mailing
Reading Hospital, 420, South 5th Avenue, West Reading, Berks County, Pennsylvania, 19611, United States
WEST READING, PA 196112143
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: 2005-10-06
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 |
|---|---|---|---|---|
| I20051006000680 | I | Obstetrics/Gynecology | PA | 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 17543)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | PA | |
| General Surgery, Critical Care (Intensivists) | PA | |
| - | PA | |
| - | PA | |
| N E U R O L O G Y | PA | |
| Hospitalist, Internal Medicine | PA | |
| - | PA | |
| General Surgery | MO | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physical Medicine And Rehabilitation | PA |
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