JODY ALLISON BOLTON SMITH M.D. NPI 1306846076

NPI Information

  • NPI: 1306846076
  • Provider Name: JODY ALLISON BOLTON SMITH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1990 CONNECTICUT AVE S
    SARTELL, MN
    ZIP 56377
  • Phone: (320) 257-5595

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NPI Details

Jody Allison Bolton Smith, M.D. is a diagnostic radiology radiology in Sartell, MN with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jody Allison Bolton Smith, M.D. NPI is 1306846076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1990 CONNECTICUT AVE S
SARTELL, MN
ZIP 56377-554
Phone: (320) 257-5595
Fax: (320) 257-5596

The NPI 1306846076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of hip, 1 view (HCPCS:73501)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Review by radiologist of image from tube placement into bile duct using an endoscope (HCPCS:74328)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 7/26/2005 and was last updated on 8/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology46527MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1411772562OTHERMINNESOTATRICARE
2131470C561OTHERMINNESOTAUCARE OF MINNESOTA
3HP44741OTHERMINNESOTAHEALTH PARTNERS
4I0702MEDICARE UPINMINNESOTA
5300003456MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
62141654OTHERMINNESOTAARAZ/ AMERICA'S PPO
7284L1BOOTHERMINNESOTABLUE CROSS BLUE SHIELD
8965251040913OTHERMINNESOTAPREFERRED ONE
916-03053OTHERMINNESOTAMEDICA
10411772562OTHERMINNESOTAGREATWEST HEALTHCARE
11492485100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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