ANTHONY A BOULDIN (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1164503413
Neurology with Special Qualifications in Child Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
592 NEUROLOGY in WA
Provider Addresses for ANTHONY A BOULDIN (MD)
4800 Sand Point Way NE
Seattle, WA 981053901
Phone: (206) 987-2000
Type: Location
600 BROADWAY STE 400
SEATTLE, WA 981225312
Phone: (206) 215-1440
Fax: (206) 215-1441
Type: Location
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
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: 2022-12-06
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20041015000825 | I | Neurology | WA | TBD |
| I20221206001717 | I | Neurology | OR | 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 |
|---|---|---|---|---|
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 242 | 55 | $0 |
| 95937 | Testing of nerve-muscle junction | 166 | 49 | $0 |
| 95938 | Placement of skin electrodes and measurement of stimulated sites on arms and legs | 55 | 55 | $0 |
| 95870 | Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study | 45 | 23 | $0 |
| 95939 | Placement of skin electrodes and measurement of central motor stimulation in arms and legs | 38 | 38 | $0 |
Insurance plans in this area (ZIP 98105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| General Surgery | WA | |
| P S Y C H I A T R Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | WA | |
| Hospitalist, Hospice/Palliative Care | WA | |
| Physician Assistant | WA | |
| N E U R O L O G Y | WA | |
| N E U R O L O G Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | ND | |
| Critical Care (Intensivists), Pulmonary Disease | WA |
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