Doctor profile · Federal record
Dr. Samuel Bolivar, MD
Internal Medicine Physician (CMS: Internal Medicine) · San Bernardino, CA
- NPI 1144251067
- Accepts Medicare
- 44 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
555 N D St, Suite 130
San Bernardino, CA 924011305
(909) 888-8154
fax (909) 888-9940 - Additional location
-
10600 Magnolia Ave Ste J
Riverside, CA 925051819
(951) 352-3417
fax (951) 352-3208 - Additional location
-
400 S California Ave Ste C
Parker, AZ 853444426
(928) 259-1000 - Mailing address
-
3410 la Sierra Ave # F369
Riverside, CA 925035270
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- April 27, 2023
- Year of graduation
- 1982 — 44 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- California #A41590
- Medicaid
- CA #00A415900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144251067. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
411
Distinct HCPCS
4
Medicare allowed
$47,916
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 361 | 164 | $112 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $77 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 18 | 18 | $222 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $171 |
In context: peer comparison
Among 18 peers in San Bernardino Internal Medicine Physician, average services per provider: 109. This provider delivers 3.8× the peer median.Open Payments
Industry payments received
All-time total
$450
Transactions
16
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $120.02 | |
| Abbott Laboratories | 4 | $95.95 | |
| Lilly USA, LLC | 4 | $83.18 | |
| Novo Nordisk INC | 3 | $62.84 | |
| Boston Scientific Corporation | 1 | $37.11 | |
| Bayer Healthcare Pharmaceuticals INC. | 2 | $34.76 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $16.30 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
8,001
Patients
2,284
Total drug cost
$149,667
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 1,370 | 409 | $27,947 |
| Metformin Hcl | Generic | 894 | 251 | $12,091 |
| Losartan Potassium | Generic | 735 | 211 | $15,609 |
| Levothyroxine Sodium | Generic | 642 | 166 | $12,477 |
| Amlodipine Besylate | Generic | 590 | 165 | $7,902 |
| Simvastatin | Generic | 544 | 145 | $7,308 |
| Lisinopril | Generic | 447 | 141 | $5,950 |
| Glipizide | Generic | 402 | 117 | $5,977 |
| Omeprazole | Generic | 388 | 105 | $8,229 |
| Benazepril Hcl | Generic | 386 | 90 | $9,092 |
Frequently asked questions
What is Dr. Samuel Bolivar's medical specialty?
Dr. Samuel Bolivar practices Internal Medicine Physician in San Bernardino, CA.
Where does Dr. Samuel Bolivar practice?
Dr. Samuel Bolivar practices at 555 N D St, San Bernardino, CA 924011305. Office phone: 9098888154.
What is Dr. Samuel Bolivar's NPI?
Dr. Samuel Bolivar's National Provider Identifier (NPI) is 1144251067, issued by NPPES.
Does Dr. Samuel Bolivar accept Medicare assignment?
Yes. Dr. Samuel Bolivar accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Bolivar commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.