DR. BRIAN MICHAEL BOLDT (D.O.) – Diagnostic Radiology Physician, NPI 1144480245
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. BRIAN MICHAEL BOLDT (D.O.)
MADIGAN ARMY MEDICAL CTR DEPARTMENT OF
9040 FITZSIMMONS DRIVE
TACOMA, WA 984310001
Phone: (253) 968-5604
Type: Location
4455, Logan Drive Northeast, Lacey, Thurston County, Washington, 98516, United States
LACEY, WA 985161351
Phone: (253) 210-0412
Type: Mailing
Madigan Army Medical Ctr Department Of
9040 Fitzsimmons Drive
Tacoma, WA 984310001
Phone: (253) 968-5604
Type: Location
1304 FAWCETT AVE STE 100
TACOMA, WA 984021900
Phone: (253) 761-4200
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: 2017-11-02
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 |
|---|---|---|---|---|
| I20171102001530 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 8,048 | 102 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,735 | 52 | $0 |
| 70450 | Ct scan head or brain without contrast | 758 | 743 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 255 | 254 | $0 |
| 72125 | Ct scan of upper spine without contrast | 222 | 221 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | SC | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | WA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| - | WA |
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