Active NPI 1952471187 Individual Practitioner Male Practitioner

Kevin P Bolan , RPA C

Physician Assistant • Newcomb, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kevin Bolan, RPA C is a certified Physician Assistant practicing in Newcomb, NY. With approximately 43 years of clinical experience since completing medical education in 1983, Kevin Bolan delivers high-quality medical care to the local community at 4 SANTANONI DRIVE.

Kevin Bolan accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include residence visit for established patient with straightforward medical decision making, per day, if using time, at least, established patient outpatient office visit, residence visit for established patient with low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4 Santanoni Drive

Newcomb, NY 12852

Telephone 5185822991

Fax 5185822040

Associated Practice Facility / Clinic

🏢 Russell E Rider, Md Facility NPI 1346415387

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Newcomb, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +17.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Newcomb, NY (15701 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

32.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bolan (43 Years) 43 Yrs

Newcomb Specialty Average (26.0 Years) 26.0 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
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	335	17	$95.00	$36.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	51	$125.00	$102.75
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	114	20	$115.00	$61.79
36415 Insertion of needle into vein for collection of blood sample	78	39	$10.00	$8.54
99213 Established patient office or other outpatient visit, typically 15 minutes	59	36	$90.00	$73.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$75.00	$45.59
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	13	11	$125.00	$102.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	276	15	$95.00	$36.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	62	$125.00	$104.28
99213 Established patient office or other outpatient visit, typically 15 minutes	113	62	$90.00	$72.95
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	103	20	$115.00	$62.41
36415 Insertion of needle into vein for collection of blood sample	101	61	$10.00	$8.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	31	$75.00	$44.59
99283 Emergency department visit with low level of medical decision making	25	25	$491.00	$57.23
81002 Urinalysis, manual test	20	15	$10.00	$3.41
99284 Emergency department visit with moderate level of medical decision making	13	13	$575.00	$100.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	416	120	$125.00	$107.26
36415 Insertion of needle into vein for collection of blood sample	248	97	$10.00	$2.96
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	174	17	$95.00	$45.56
99213 Established patient office or other outpatient visit, typically 15 minutes	174	87	$90.00	$75.74
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	108	20	$115.00	$69.37
17000 Destruction of skin growth	54	18	$80.00	$56.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$75.00	$47.32
17003 Destruction of precancer skin growth, 2-14 growths	37	12	$110.00	$5.69
81002 Urinalysis, manual test	33	16	$10.00	$3.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	25	$35.00	$19.45
97597 Removal of tissue from wound, 20.0 sq cm or less	21	13	$80.00	$80.33
99282 Emergency department visit with straightforward medical decision making	19	19	$310.95	$35.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$175.00	$151.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$92.31	$6.95
99283 Emergency department visit with low level of medical decision making	12	12	$469.67	$60.57
G0008 Administration of influenza virus vaccine	12	12	$30.00	$28.64
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$75.00	$70.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	584	153	$120.00	$108.63
36415 Insertion of needle into vein for collection of blood sample	333	123	$10.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	226	107	$85.00	$76.17
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	162	21	$90.00	$45.83
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	98	33	$110.00	$70.13
G0008 Administration of influenza virus vaccine	70	70	$25.86	$16.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	47	$70.00	$46.01
90662 Influenza vaccine split virus, preservative free	59	59	$65.00	$65.00
17000 Destruction of skin growth	56	22	$80.00	$55.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	31	$170.00	$149.27
81002 Urinalysis, manual test	44	21	$10.00	$3.48
17003 Destruction of precancer skin growth, 2-14 growths	41	17	$110.00	$5.48
97597 Removal of tissue from wound, 20.0 sq cm or less	39	17	$80.00	$80.63
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	32	21	$120.00	$108.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	18	$50.00	$7.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	659	148	$105.00	$89.87
36415 Insertion of needle into vein for collection of blood sample	302	113	$10.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	172	97	$75.00	$61.03
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	152	25	$90.00	$46.41
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	109	36	$110.00	$71.26
G0008 Administration of influenza virus vaccine	81	80	$25.86	$16.07
90662 Influenza vaccine split virus, preservative free	72	71	$60.96	$60.90
17000 Destruction of skin growth	52	14	$80.00	$53.94
97597 Removal of tissue from wound, 20.0 sq cm or less	46	11	$80.00	$80.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	13	$25.86	$11.95
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	40	16	$120.00	$109.17
81002 Urinalysis, manual test	35	16	$10.00	$3.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	19	$50.00	$7.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$50.00	$37.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	166	$105.00	$89.38
36415 Insertion of needle into vein for collection of blood sample	284	112	$10.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	135	80	$75.00	$61.17
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	132	16	$90.00	$45.84
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	76	22	$110.00	$69.66
G0008 Administration of influenza virus vaccine	71	70	$25.86	$15.94
90662 Influenza vaccine split virus, preservative free	50	50	$57.82	$54.73
17000 Destruction of skin growth	50	14	$80.00	$53.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	14	$25.86	$13.73
97597 Removal of tissue from wound, 20.0 sq cm or less	45	13	$80.00	$73.34
17003 Destruction of precancer skin growth, 2-14 growths	45	12	$110.00	$4.58
81002 Urinalysis, manual test	40	20	$10.00	$3.41
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	12	$5.00	$1.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	26	$50.00	$7.09
G0009 Administration of pneumococcal vaccine	17	16	$25.86	$15.94
90682 Influenza vaccine, quadrivalent derived from recombinant dna	17	17	$58.00	$54.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$120.00	$88.81
99283 Emergency department visit with low level of medical decision making	12	12	$427.00	$51.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	737	172	$105.00	$87.60
36415 Insertion of needle into vein for collection of blood sample	312	120	$10.00	$2.89
99213 Established patient office or other outpatient visit, typically 15 minutes	136	87	$75.00	$59.48
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	128	14	$90.00	$45.46
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	87	25	$110.00	$63.83
G0008 Administration of influenza virus vaccine	84	83	$25.68	$19.57
90662 Influenza vaccine split virus, preservative free	63	63	$55.00	$52.30
17000 Destruction of skin growth	62	19	$80.00	$53.87
17003 Destruction of precancer skin growth, 2-14 growths	57	16	$110.00	$4.25
81002 Urinalysis, manual test	48	25	$10.00	$3.34
97597 Removal of tissue from wound, 20.0 sq cm or less	38	16	$80.00	$68.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	27	$50.00	$7.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$50.00	$35.80
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$22.50	$17.48
G0009 Administration of pneumococcal vaccine	12	12	$25.86	$19.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	689	167	$100.01	$85.79
36415 Insertion of needle into vein for collection of blood sample	305	122	$10.00	$2.86
99213 Established patient office or other outpatient visit, typically 15 minutes	158	101	$70.00	$59.73
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	113	13	$80.00	$45.47
G0008 Administration of influenza virus vaccine	79	79	$18.13	$17.55
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	78	78	$22.50	$17.26
17000 Destruction of skin growth	60	20	$80.00	$54.19
85610 Blood test, clotting time	50	11	$10.00	$5.28
17003 Destruction of precancer skin growth, 2-14 growths	49	15	$110.00	$4.55
97597 Removal of tissue from wound, 20.0 sq cm or less	45	17	$80.00	$61.28
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	42	21	$105.00	$63.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	29	$50.00	$7.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	17	$48.00	$35.52
81002 Urinalysis, manual test	25	19	$9.00	$3.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$106.00	$94.48
20551 Injection into tendon at attachment to bone or muscle	18	13	$60.00	$49.56
J1030 Injection, methylprednisolone acetate, 40 mg	15	11	$20.00	$5.97

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 0022961

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01110874 (NY)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Denise Bolan , RPA C

Physician Assistant - Medical

NPI 1609946839

RPAC

Megan Rozell , PA

Physician Assistant

NPI 1679093439

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2015

Registered at 4 SANTANONI DRIVE, NEWCOMB, NY 12852 (Tel: 5185822991)

📍

Updated Business Mailing Address July 23, 2015

Registered at 4 SANTANONI DRIVE, NEWCOMB, NY 128521913 (Tel: 5185822991)

👤

Provider Name / Credentials Updated July 23, 2015

Recorded as KEVIN BOLAN, RPA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2015

Physician Assistant (License #0022961 in NY)

🟢

Initial NPI Registration & Enumeration November 08, 2006

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: 1952471187

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 08, 2006

Last Update: July 23, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4 Santanoni Drive

Newcomb, NY 128521913

Phone: 5185822991

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.