Active NPI 1124438205 Individual Practitioner Female Practitioner

Laura Bolt , PA-C

Physician Assistant • Portland, OR

Professional Overview & Biography Verified Profile Summary

Laura Bolt, PA-C is a registered healthcare professional specializing in Physician Assistant in Portland, OR. Practice services are available at 4805 NE GLISAN ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4805 Ne Glisan St
Ste 6n50

Portland, OR 972132933

Telephone 5032152300

Fax 5032158004

Associated Practice Facility / Clinic

🏢 Eugene Borkan, Md, Pc Facility NPI 1497760300

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Portland, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.1 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

470 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate

23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99285 Emergency department visit for life threatening or functioning severity	71	70	$878.00	$144.76
99284 Emergency department visit with moderate level of medical decision making	26	26	$589.00	$99.95
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	17	$39.00	$6.81
71045 X-ray of chest, 1 view	16	16	$33.00	$7.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	39	39	$878.00	$147.03
99284 Emergency department visit with moderate level of medical decision making	23	23	$589.00	$101.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	18	$39.00	$6.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$301.00	$79.85
99284 Emergency department visit with moderate level of medical decision making	24	24	$589.00	$103.00
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$126.87	$58.11
99285 Emergency department visit for life threatening or functioning severity	20	20	$878.00	$148.76
99283 Emergency department visit with low level of medical decision making	15	14	$394.00	$60.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$177.00	$71.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$124.00	$59.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$177.00	$72.81
99285 Emergency department visit for life threatening or functioning severity	13	12	$878.00	$153.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$125.65	$44.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$177.75	$64.25
99284 Emergency department visit with moderate level of medical decision making	20	20	$589.00	$103.37
99283 Emergency department visit with low level of medical decision making	16	15	$394.00	$56.49
99285 Emergency department visit for life threatening or functioning severity	13	13	$878.00	$149.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	70	$117.41	$44.00
99284 Emergency department visit with moderate level of medical decision making	27	27	$589.00	$101.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$173.50	$64.21
99285 Emergency department visit for life threatening or functioning severity	19	19	$878.00	$149.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	16	$39.00	$7.43
99283 Emergency department visit with low level of medical decision making	13	13	$394.00	$53.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$114.00	$44.30
99284 Emergency department visit with moderate level of medical decision making	52	52	$589.00	$100.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$176.83	$65.85
99283 Emergency department visit with low level of medical decision making	15	12	$394.00	$52.84
99285 Emergency department visit for life threatening or functioning severity	11	11	$878.00	$147.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$113.90	$43.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$168.50	$65.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$342.00	$93.05

Medical Specialties & State Licenses

CMS Verified: 2020-10-06

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA174307

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500693080 (OR)

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Jennifer Muong , DO

Family Medicine

NPI 1013301076

Doctor of Osteopathic Medicine (D.O.)

Sarah Harris , PA-C

Physician Assistant

NPI 1295283174

Physician Assistant (Certified)

Morio Mcwilliams , PA-C

Physician Assistant

NPI 1316242399

Physician Assistant (Certified)

Dr. Areo Saffarzadeh , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1386025401

Doctor of Medicine (M.D.)

Madison Bonham , PA

Physician Assistant

NPI 1497098081

Physician Assistant

Dr. Heather Merry , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1538278700

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active January 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2016

Registered at 4805 NE GLISAN ST, STE 6N50, PORTLAND, OR 972132933 (Tel: 5032152300)

📍

Updated Business Mailing Address January 13, 2016

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032152300)

👤

Provider Name / Credentials Updated January 13, 2016

Recorded as LAURA BOLT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2016

Physician Assistant (License #PA174307 in OR)

🟢

Initial NPI Registration & Enumeration April 29, 2014

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: 1124438205

Entity Type:

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

Enumeration Date: April 29, 2014

Last Update: October 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032152300

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.