KENYON CASTLE IV BOLTON – Internal Medicine Physician, NPI 1134623135

KENYON CASTLE IV BOLTON is a healthcare provider. based in Burlington, Vermont. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold a License No. 042.0015361 (VT). The NPI Number for KENYON CASTLE IV BOLTON is 1134623135

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KENYON CASTLE IV BOLTON
NPI
1134623135
Phone
(802) 847-2345
Address
111 COLCHESTER AVE
Enumeration Date
23 March 2018
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
8022255400
Graduation Year
2018 (8 years ago)
PAC ID
4183878838
Group Practice PAC ID
9335138817
Professional Enrollment ID
I20211008001617
Address ID
VT056029000BE130XXRDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

58 HOSPITALIST in VT

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Provider Addresses for KENYON CASTLE IV BOLTON

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (802) 847-2345

    Type: Location

  • 1873 NOTCH RD

    JERICHO, VT 054659569

    Phone: (802) 730-4679

    Type: Mailing

  • PO BOX 1456

    MONTPELIER, VT 056011456

    Phone:

    Type: Mailing

  • 130 FISHER RD

    BARRE, VT 056419004

    Phone: (802) 371-4100

    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: 2021-10-08

PECOS data refreshed: 2026-06-15

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
I20211008001617IHospitalistVTTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes222202$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12774$0
99291Critical care, first 30-74 minutes6354$0
99239Hospital discharge day management, more than 30 minutes5757$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2615$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 9335138817View full group profile
NameSpecialtyState
Nurse PractitionerVT
-VT
Orthopedic SurgeryVT
Nurse PractitionerVT
-VT
Nurse PractitionerVT
Nurse PractitionerVT
Nurse PractitionerVT
Family Practice, HospitalistVT
-VT

Reviews

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Frequently asked questions

Is KENYON CASTLE IV BOLTON listed with a National Provider Identifier?
Yes — KENYON CASTLE IV BOLTON has NPI 1134623135 on file in the registry.
Is KENYON CASTLE IV BOLTON shown as active in public data?
Registry records indicate KENYON CASTLE IV BOLTON maintains an active NPI.
What clinical focus is listed for KENYON CASTLE IV BOLTON?
At a glance, KENYON CASTLE IV BOLTON is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KENYON CASTLE IV BOLTON?
Travel planning: use Burlington, Vermont as the reference point for KENYON CASTLE IV BOLTON, then confirm.
When was this NPI issued?
Enumeration for KENYON CASTLE IV BOLTON is noted as March 23, 2018 where the registry provides it.

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