Doctor profile · Federal record

Dr. LAURA BOLT, PA-C

Physician Assistant · Student in an Organized Health Care Education/Training Program · PORTLAND, OR

  • NPI 1124438205
  • MIPS 87.8 / 100 · 2023
  • 12 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4805 NE GLISAN ST, STE 6N50
PORTLAND, OR 972132933
(503) 215-2300
fax (503) 215-8004
Mailing address
PO BOX 3158
PORTLAND, OR 972083158

Credentials & registration

NPPES · NUCC
NPI registered
April 2014 — 12 yrs on file
Profile last updated
October 6, 2020
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Oregon #PA174307
Medicaid
OR #500693080

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124438205. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
81
Distinct HCPCS
3
Medicare allowed
$8,196
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 39 39 $147
99284 Emergency department visit with moderate level of medical decision making 23 23 $101
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 19 18 $7

In context: peer comparison

Among 114 peers in this city , average services per provider: 61. This provider delivers 1.3× the peer median.