DR. JEFFREY THOMAS BOLKA (M.D.) – Anesthesiology Physician, NPI 1073650511
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
227 ANESTHESIOLOGY in MT
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Provider Addresses for DR. JEFFREY THOMAS BOLKA (M.D.)
PO BOX 84891
SEATTLE, WA 981246191
Phone: (425) 407-1500
Type: Mailing
925, Highland Boulevard, Hillcrest, Bozeman, Gallatin County, Montana, 59715, United States
BOZEMAN, MT 597156900
Phone: (406) 414-5000
Type: Location
400 NE Mother Joseph Pl
Vancouver, WA 986643200
Phone: (360) 828-5396
Fax: (360) 828-5455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2020-10-21
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 |
|---|---|---|---|---|
| I20090729000979 | I | Anesthesiology | WA | TBD |
| I20201021002047 | I | Anesthesiology | MT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 55 | 55 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 29 | 29 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 24 | 24 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 22 | 22 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MT | |
| A N E S T H E S I O L O G Y | MT | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | MT |
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