NPI Details
DR. Altimus Ray Bollen, M.D. is an internal medicine in Malvern, AR with 45 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Altimus Ray Bollen, M.D. NPI is 1720054125. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1980
The provider's business location address is:
1002 SCHNEIDER DR
SUITE 104
MALVERN, AR
ZIP 72104-816
Phone: (501) 337-9066
Fax: (501) 332-5265
The NPI 1720054125 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, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Hemoglobin a1c level (HCPCS:83036)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Blood test, clotting time (HCPCS:85610)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
- Emergency department visit for problem of high severity (HCPCS:99284)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Emergency department visit for problem of moderate severity (HCPCS:99283)
- Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
- Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
The enumeration date for this NPI number is 2/24/2006 and was last updated on 5/22/2008.
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 |
| 1 | 207R00000X | Internal Medicine | | C6072 | ARKANSAS | Yes |
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 |
| 1 | C67855 | MEDICARE UPIN | ARKANSAS | |
| 2 | 102657001 | MEDICAID | ARKANSAS | |
| 3 | 5401027 | OTHER | ARKANSAS | AETNA |
| 4 | 277387 | OTHER | ARKANSAS | HEALTHLINK |
| 5 | 110143320 | MEDICARE PIN | ARKANSAS | |
| 6 | 50546 | MEDICARE PIN | ARKANSAS | |
| 7 | 12692000000 | OTHER | ARKANSAS | QUALCHOICE |
| 8 | 0904380007 | MEDICARE NSC | ARKANSAS | |
| 9 | MG38450 | OTHER | ARKANSAS | UNITED HEALTHCARE |
| 10 | 9292900 | OTHER | ARKANSAS | CIGNA |
| 11 | P00046 | OTHER | ARKANSAS | NOVASYS |
