CMS-1500 Box 24J / 33a • NPI
1073666707
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
425 E US ROUTE 6, MORRIS, IL, 60450-9042
✓ 9-Digit EDI 837 ZIP+4 (60450-9042)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1073666707 (JOHN BOLDEN, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1073666707)
Medicare Beneficiaries
171
Total Billed Services
562
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$76,233.12
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 27 |
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 20 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 113 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 57 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 57 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 174 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 20 | <11 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 16 | <11 |
| Ceftriaxone Ceftriaxone Sodium | 63 | <11 |
| Cefuroxime Cefuroxime Axetil | 26 | 12 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 20 | <11 |
| Daptomycin Daptomycin | 30 | <11 |
| Ertapenem Ertapenem Sodium | 11 | <11 |
| Fluconazole Fluconazole | 19 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1073666707 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JOHN BOLDEN, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0200X (Internal Medicine, Infectious Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 425 E US ROUTE 6, MORRIS, IL, 60450-9042 |
| Practice Telephone / Fax | Tel: (815) 513-3074 | Fax: (815) 513-3096 |
| Administrative Mailing Address | 725 SCHOOL ST STE A, MORRIS, IL, 60450-1207 |
| Enumeration & Last Sync | Enumerated: 2007-01-18 | CMS Record Updated: 2020-04-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RI0200X)
What Does Taxonomy Code 207RI0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JOHN BOLDEN, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IL | License: 036106844 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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