Doctor profile · Federal record

Dr. Russell Bouldin, R.P.T

Physical Therapist (CMS: Physical Therapist in Private Practice) · Las Vegas, NV

  • NPI 1770551426
  • Accepts Medicare
  • MIPS 73.9 / 100 · 2023
  • 32 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
9499 W Charleston Blvd, Suite 220
Las Vegas, NV 891177147
(702) 933-9394
fax (702) 933-9395

Credentials & registration

NPPES · NUCC
NPI registered
March 2006 — 20 yrs on file
Profile last updated
May 21, 2008
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
Nevada #0847

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1770551426. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
8,182
Distinct HCPCS
3
Medicare allowed
$208,332
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 6,013 223 $24
97140 Therapy procedure using manual technique, each 15 minutes 1,965 194 $21
97161 Evaluation for physical therapy, typically 20 minutes 204 195 $100

In context: peer comparison

Among 134 peers in this city , average services per provider: 425. This provider delivers 19× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Russell Bouldin's medical specialty?
Dr. Russell Bouldin practices Physical Therapist in Las Vegas, NV.
Where does Dr. Russell Bouldin practice?
Dr. Russell Bouldin practices at 9499 W Charleston Blvd, Las Vegas, NV 891177147. Office phone: 7029339394.
What is Dr. Russell Bouldin's NPI?
Dr. Russell Bouldin's National Provider Identifier (NPI) is 1770551426, issued by NPPES.
Does Dr. Russell Bouldin accept Medicare assignment?
Yes. Dr. Russell Bouldin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Russell Bouldin commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Evaluation for physical therapy, typically 20 minutes (HCPCS 97161). Source: CMS Medicare Physician & Other Practitioners file.