JOHN W JR. BOLDT (MD) – Pulmonary Disease Physician, NPI 1629067335

JOHN W JR. BOLDT (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 26336 (TN). The NPI Number for JOHN W JR. BOLDT (MD) is 1629067335

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JOHN W JR. BOLDT (MD)
NPI
1629067335
Phone
(423) 778-9101
Address
979 E 3RD ST
Enumeration Date
14 October 2005
Last Update Date
2 October 2007

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4237787485
Graduation Year
1982 (44 years ago)
PAC ID
3173519584
Group Practice PAC ID
0547179731
Professional Enrollment ID
I20040421001734
Address ID
TN374032136CH979XXGXXX500
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

436 PULMONARY DISEASE in TN

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Provider Addresses for JOHN W JR. BOLDT (MD)

  • 979, East 3rd Street, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37403, United States

    SUITE B-805

    CHATTANOOGA, TN 374032136

    Phone: (423) 778-9101

    Fax: (423) 778-4397

    Type: Location

  • PO BOX 11547

    CHATTANOOGA, TN 374012547

    Phone: (423) 778-3274

    Fax: (423) 778-2255

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $8,048.

Total Amount is formed as General ($8,048) + Research ($0) + Ownership ($0) = $8,048.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($7,899).

Total Amount

$8,048

General + Research + Ownership

Payments

23

Total payment records

General Amount

$8,048

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-04-21

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
I20040421001734IPulmonary DiseaseTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes209142$0
99213Established patient office or other outpatient visit, 20-29 minutes9680$0
99215Established patient office or other outpatient visit, 40-54 minutes8165$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7427$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 37403)

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Provider's Procedures

JOHN W JR. BOLDT (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)TN31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1313
CRITICAL CARE (INTENSIVISTS)TN94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration7876

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547179731View full group profile

Reviews

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Frequently asked questions

Can I cross-check JOHN W JR. BOLDT (MD) using NPI 1629067335?
NPI 1629067335 belongs to JOHN W JR. BOLDT (MD); compare other details if you need extra assurance.
Is JOHN W JR. BOLDT (MD) shown as active in public data?
Registry records indicate JOHN W JR. BOLDT (MD) maintains an active NPI.
How would a patient describe JOHN W JR. BOLDT (MD)'s focus?
For JOHN W JR. BOLDT (MD), the primary taxonomy reads as Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN W JR. BOLDT (MD)?
Directory geography for JOHN W JR. BOLDT (MD) centers on Chattanooga, Tennessee.
Does JOHN W JR. BOLDT (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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