STEPHEN LAURENCE BOLT (M.D.) – Anesthesiology Physician, NPI 1710967237
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,517 ANESTHESIOLOGY in WA
Provider Addresses for STEPHEN LAURENCE BOLT (M.D.)
9040-A FITZSIMMONS DRIVE
TACOMA, WA 984310001
Phone: (253) 968-1975
Fax: (253) 968-3738
Type: Location
11315 Bridgeport Way SW
Lakewood, WA 984993004
Phone: (253) 985-6403
Fax: (253) 985-2948
Type: Location
9040-A Fitzsimmons Drive
Tacoma, WA 984310001
Phone: (253) 968-1975
Fax: (253) 968-3738
Type: Location
Gravelly Lake Drive Southwest, Lakewood, Pierce County, Washington, 98499, United States
LAKEWOOD, WA 984991423
Phone: (253) 589-9736
Type: Mailing
1717 S J ST
TACOMA, WA 984054933
Phone: (844) 364-2778
Fax: (253) 383-0161
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: 2018-06-06
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 |
|---|---|---|---|---|
| I20180606001671 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 47 | 47 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 46 | 46 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 24 | 24 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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