CMS-1500 Box 24J / 33a • NPI
1942822911
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
213E00000X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist
Box 32 Service Location & ZIP+4
95 VERNON ST, WORCESTER, MA, 01610-1988
✓ 9-Digit EDI 837 ZIP+4 (01610-1988)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942822911 (JACOB RYAN BOLLING, DPM) 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
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1942822911)
Medicare Beneficiaries
70
Total Billed Services
154
Distinct CPT/HCPCS Codes
23
Medicare Allowed Total
$15,210.02
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11056 | Removal of noncancer thickened skin growth, 2-4 growths | 20 |
11721 | Removal of fingernails or toenails, 6 or more nails | 30 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 21 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 40 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942822911 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JACOB RYAN BOLLING, DPM |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist NUCC Code: 213E00000X (Podiatrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 95 VERNON ST, WORCESTER, MA, 01610-1988 |
| Practice Telephone / Fax | Tel: (508) 755-2466 |
| Administrative Mailing Address | PO BOX 34666, BELFAST, ME, 04915-0624 |
| Enumeration & Last Sync | Enumerated: 2020-05-13 | CMS Record Updated: 2024-09-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213E00000X)
What Does Taxonomy Code 213E00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213E00000X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JACOB RYAN BOLLING, DPM)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
213ES0131X — Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot Surgery | State: MA | License: 2545 | Primary: Secondary |
213E00000X — PodiatristPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist | State: MA | License: PDF2545 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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