Dr. Mark James Bolton , MD
General Practice โข Columbus, OH
420 N James Rd
Columbus, OH 432191834
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 28, 2005; this date does not establish years in practice.
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Published CMS data list 167 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99283 โ Emergency department visit with low level of medical decision making: 75 service units.
- 99282 โ Emergency department visit with straightforward medical decision making: 38 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 31 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 297 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Levothyroxine Sodium โ 44 prescription fills, including refills.
- Furosemide โ 41 prescription fills, including refills.
- Famotidine โ 34 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: 411. Middle half: 174 to 1,419.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 57 in 2023 to 167 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
420 N James Rd
Columbus, OH 432191834
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Lost Rivers Medical Center; Summit Emergency Medicine Llc; Winslow Memorial Hospital Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Loma Linda University School Of Medicine
1994
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
150 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $11,080 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $8,248 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
306 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$3,777 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
32 years (graduated 1994)
CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Bolton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Bolton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Columbus and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: 411. Middle half: 174 to 1,419.
Too few clinicians listed under General Practice in Columbus have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: $38,086. Middle half: $12,805 to $83,690.
Too few clinicians listed under General Practice in Columbus have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: $27,260. Middle half: $10,193 to $60,685.
Too few clinicians listed under General Practice in Columbus have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Bolton are from 2022.
25 active clinicians are listed under General Practice with a practice address in Columbus, OH (281 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Columbus
4% of these 25 clinicians have the CMS telehealth indicator.
32% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 193% from 57 in 2023 to 167 in 2024.
- 2023: 57
- 2024: 167
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Medicare-allowed amount
Medicare-allowed amount increased 18% from $9,383 in 2023 to $11,080 in 2024.
- 2023: $9,383
- 2024: $11,080
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Paid by Medicare
Paid by Medicare stayed about the same: $7,652 in 2023 and $8,248 in 2024.
- 2023: $7,652
- 2024: $8,248
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 15 in 2018 to 297 in 2022.
- 2018: 15
- 2019: 670
- 2020: 1,337
- 2021: 925
- 2022: 297
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30-day fills
30-day fills went from 15 in 2018 to 306 in 2022.
- 2018: 15
- 2019: 691
- 2020: 1,370
- 2021: 953
- 2022: 306
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Part D drug cost
Part D drug cost went from $104 in 2018 to $3,777 in 2022.
- 2018: $104
- 2019: $20,542
- 2020: $47,128
- 2021: $30,510
- 2022: $3,777
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99283
Emergency department visit with low level of medical decision making
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75 | 67 | $635.13 | $72.36 |
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99282
Emergency department visit with straightforward medical decision making
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38 | 35 | $146.00 | $42.44 |
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99284
Emergency department visit with moderate level of medical decision making
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31 | 31 | $897.54 | $124.19 |
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93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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23 | 21 | $51.00 | $8.27 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 44 | 1,008 | $461.60 | โ |
| Furosemide | Furosemide | 41 | 1,216 | $239.08 | โ |
| Famotidine | Famotidine | 34 | 954 | $267.80 | โ |
| Amlodipine Besylate | Amlodipine Besylate | 29 | 812 | $150.90 | โ |
| Latanoprost | Latanoprost | 23 | 796 | $684.38 | โ |
| Gabapentin | Gabapentin | 19 | 519 | $161.28 | โ |
| Vascepa | Icosapent Ethyl | 16 | 224 | $762.88 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 15 | 488 | $240.07 | โ |
| Lisinopril | Lisinopril | 13 | 346 | $110.12 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 13 | 358 | $73.04 | โ |
| Pantoprazole Sodium | Pantoprazole Sodium | 13 | 380 | $61.12 | โ |
| Potassium Chloride | Potassium Chloride | 13 | 366 | $245.33 | โ |
| Meloxicam | Meloxicam | 12 | 340 | $72.95 | โ |
| Ropinirole Hcl | Ropinirole Hcl | 12 | 336 | $246.76 | โ |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
NUCC Taxonomy Code: 207Q00000X
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20230905002421
NM
0941104913
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Summit Emergency Medicine Llc
104 Legion Dr, Las Vegas, NM 877014804
Phone: 5054263500
Lost Rivers Medical Center
551 Highland Dr, Arco, ID 832135003
Phone: 2082527654
Winslow Memorial Hospital Inc
1501 N Williamson Ave, Winslow, AZ 860472735
Phone: 9282894691
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Primary Care
Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Clinical Cardiac Electrophysiology
Doctor of Medicine (M.D.)
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Pain Medicine - Interventional Pain Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 28, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other General Practices in Columbus
- Dr. Melissa Dine, DO
- Dr. Sheryl Stephens, MD
- Dr. Eric Dirks, DO
- Dr. Michael Dundr, MD
- Dr. Chaur-Shong Chen, DO
- Dr. Chaitanya Bukkapatnam, MD, MBA
Mailing Address
8703 Belworth Sq
New Albany, OH 430549074
Phone: 6143136112