Samuel Frank Boles, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0051567 Issued in MD

Practice address

127 Lubrano Dr
Suite 301
Annapolis, MD 21401-7114

Phone

(410) 224-2010

NPI assigned

Jul 5, 2005

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Medical College of Georgia School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.21 of 100Reported as individual

Quality

89.97

Promoting interoperability

90

Improvement activities

40

Cost

42.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11241/brand/1/csg/1/fhir/r4
• Direct secure messaging: samuel.boles.1@11241.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samuel F Boles MD PC

  dba Anne Arundel Eye Center

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1396898771
  Medicare reassignment Authorized official
• Samuel F. Boles MD PC

  dba Anne Arundel Eye Center

  • Optometrist
  • Annapolis, MD
  • NPI 1164790531
  NPD (past) Authorized official
• Samuel F. Boles, MD P.C

  dba Anne Arundel Eye Center

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1013763697
  NPD (past) Authorized official
• Ambient Health Solutions

  • Health Service Clinic/Center
  • La Plata, MD
  • NPI 1659191807
  NPD
• Coastal Cape Fear Eye Associates, PA

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1366404261
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1255338307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15659",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154051",
            "telephone_number": "410-224-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LUBRANO DR",
            "address_2": "SUITE 301",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017114",
            "telephone_number": "410-224-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "SAMUEL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0051567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4612891",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "547947108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711502400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1479534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54794109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10252068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54794110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54794107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison May Boettinger, RDH, BS
• Zoe Bogus, MS, CGC
• Kelley Dreher Bohlman, PT, DPT
• Michael Anthony Bohman, DMD
• Michael Bojerenu, PMHNP
• Lauren Chapman Bolin
• Bruce J Bolten, MD
• Janice Yerman Bolten, R.N.
• Emma Taylor Bolyard, MD
• Michelle Maureen Bomyea, PT, DPT

• Ophthalmology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.