NICHOLAS D DEBOLT PA-C NPI 1700122587

NPI Details

Nicholas D Debolt, PA-C is a surgical physician assistant in Tulsa, OK with 13 years of experience. Nicholas D Debolt, PA-C NPI is 1700122587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2488 E 81ST ST STE 290
TULSA, OK
ZIP 74137-265
Phone: (918) 494-2665
Fax: (918) 927-3201

The NPI 1700122587 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.

• Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
• Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg (HCPCS:J3304)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of knee, 4 or more views (HCPCS:73564)
• Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
• Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 12/23/2012 and was last updated on 10/8/2020.

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:

Other Identifiers

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