JERRY JOE BOLEY M.D. NPI 1962465435

NPI Information

  • NPI: 1962465435
  • Provider Name: JERRY JOE BOLEY, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4112 MONROE RD
    CELINA, OH
    ZIP 45828
  • Phone: (614) 580-8563

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NPI Details

Jerry Joe Boley, M.D. is a cardiovascular disease internal medicine in Celina, OH with 36 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jerry Joe Boley, M.D. NPI is 1962465435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

4112 MONROE RD
CELINA, OH
ZIP 45828-250
Phone: (614) 580-8563

The NPI 1962465435 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec (HCPCS:G2066)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • Programming of multiple lead pacemaker system (HCPCS:93281)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Follow-up observation care per day, typically 25 minutes (HCPCS:99225)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Programming of single lead pacemaker system (HCPCS:93279)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/11/2014.

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
1207RC0000XInternal MedicineCardiovascular Disease35070190BOHIOYes

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
10000000014726OTHERANTHEM BCBS
2B00803837MEDICARE ID-TYPE UNSPECIFIED
3060038975OTHEROHIORAILROAD MEDICARE
412723OTHERNATIONWIDE
5289254OTHERBLACK LUNG
6BO0803834MEDICARE ID-TYPE UNSPECIFIED
72500965OTHERUNITED HEALTHCARE OF OHIO
8F93546MEDICARE UPIN
90307108MEDICAIDOHIO
10060038975OTHERRAILROAD MEDICARE
111330778OTHERCIGNA

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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