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Active NPI 1013538461 Individual Practitioner Male Practitioner

Gordon Bolles , NP

Nurse Practitioner • Buffalo, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gordon Bolles, NP is a certified Nurse Practitioner practicing in Buffalo, NY. With approximately 6 years of clinical experience since completing medical education in 2020, Gordon Bolles delivers high-quality medical care to the local community at 100 HIGH ST.

Gordon Bolles maintains professional affiliations with Buffalo Medical Group, P.C., Sisters Of Charity Hospital Of Buffalo New York, Mercy Hospital Of Buffalo and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 High St

Buffalo, NY 142031126

Telephone 7168595600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Buffalo, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.8 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
222 Specialists

Practicing in Buffalo, NY (3155 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bolles (6 Years) 6 Yrs
Buffalo Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
274 67 $210.00 $125.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
51 25 $125.00 $88.01
99306 Initial nursing facility visit, typically 45 minutes per day
26 25 $255.00 $148.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
25 22 $212.60 $95.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
21 21 $451.77 $139.18
99316 Nursing facility discharge management, more than 30 minutes
13 13 $171.00 $106.95

Medical Specialties & State Licenses

CMS Verified: 2021-01-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 309573

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License NY 309573

Definition to come...

Hospital & Practice Group Affiliations

Mercy Hospital Of Buffalo

565 Abbott Rd, Buffalo, NY 142202039

Phone: 7168267000

Buffalo Medical Group, P.c.

100 High St, Buffalo, NY 142031126

Phone: 7166301000

Sisters Of Charity Hospital Of Buffalo New York

2157 Main St, Buffalo, NY 142142648

Phone: 7168621000

Secondary Practice Locations

565 Abbott Rd

Buffalo, NY 142202095

Phone: 7168267000

2605 Harlem Rd

Cheektowaga, NY 142254018

Phone: 7168912400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Andrew Poreda , MD

Emergency Medicine

NPI 1003041187

Doctor of Medicine (M.D.)

NPI 1003138637

NURSEPRACTITIONER

NPI 1003557281

Doctor of Medicine (M.D.)

Dr. Guy Dunetz , MD

Student in an Organized Health Care Education/Training Program

NPI 1003619800

Doctor of Medicine (M.D.)

Dr. Jill Frasco , DO

Student in an Organized Health Care Education/Training Program

NPI 1003669227

Doctor of Osteopathic Medicine (D.O.)

Abbigail Delmonte

Student in an Organized Health Care Education/Training Program

NPI 1013857234

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 21, 2021

Registered at 100 HIGH ST, BUFFALO, NY 142031126 (Tel: 7168595600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2021

Nurse Practitioner (License #309573 in NY)

📍
Updated Business Mailing Address December 29, 2020

Registered at 425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 142218235 (Tel: 7166301219)

👤
Provider Name / Credentials Updated December 29, 2020

Recorded as GORDON BOLLES, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2020

Nurse Practitioner (License #309573 in NY)

NPI Profile Active May 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2020

Registered at ELM AND CARLTON STREETS, BUFFALO, NY 142630001 (Tel: 7168452300)

📍
Updated Business Mailing Address May 05, 2020

Registered at ELM AND CARLTON STREETS, BUFFALO, NY 142630001 (Tel: 7168452300)

👤
Provider Name / Credentials Updated May 05, 2020

Recorded as GORDON BOLLES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2020

Nurse Practitioner (License #309573 in NY)

🟢
Initial NPI Registration & Enumeration April 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013538461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2020
Last Update: January 21, 2021
Sole Proprietor: No

Mailing Address

425 Essjay Rd Ste 170

Williamsville, NY 142218235

Phone: 7166301219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.