DOUGLAS BOLDA, M.D. — NPI 1174519458 (Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) in CORYDON, IN)

CMS-1500 Box 24J / 33a • NPI

1174519458

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207X00000X (CMS 02)

Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)

Box 32 Service Location & ZIP+4

1263 HOSPITAL DR NW STE 105, CORYDON, IN, 47112-2173

✓ 9-Digit EDI 837 ZIP+4 (47112-2173)

Practice Phone & Referral Fax

(812) 738-4251

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174519458 (DOUGLAS BOLDA, 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174519458` (NPI-1 Individual Practitioner)
Provider / Legal Name	DOUGLAS BOLDA, M.D.
Plain-English Specialty	Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: `207X00000X` (Orthopaedic Surgery)
Certifying / Licensing Body	American Board of Orthopaedic Surgery (ABOS)
Practice Location Address	1263 HOSPITAL DR NW STE 105, CORYDON, IN, 47112-2173
Practice Telephone / Fax	Tel: (812) 738-4251
Administrative Mailing Address	PO BOX 38, CORYDON, IN, 47112-0038
Enumeration & Last Sync	Enumerated: 2005-09-22 \| CMS Record Updated: 2025-01-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1263 HOSPITAL DR NW STE 105, CORYDON, IN, 47112-2173

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Plain-English Taxonomy & CMS Crosswalk (207X00000X)

What Does Taxonomy Code 207X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 20 (Physician/Orthopedic Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DOUGLAS BOLDA, M.D.)

Typical CPT / Diagnostic Procedures:

Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
Fracture Reduction, Internal Fixation & Carpal Tunnel Release

Common Therapeutic Classes:

NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
Intra-Articular Triamcinolone Acetonide & Methylprednisolone
Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: WI \| License: `77087` \| Primary: Secondary
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: IN \| License: `01048624A` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DOUGLAS BOLDA, M.D. (NPI #1174519458)