2026 NPPES data Anatomic Pathology & Clinical Pathology Physician NPI 1073761128 M.D.
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BRIAN BOLTON, M.D.

Anatomic Pathology & Clinical Pathology Physician in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
90/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$16.79
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BRIAN BOLTON, M.D. is a Anatomic Pathology & Clinical Pathology Physician ([object Object]) practicing in CHICAGO, Illinois . Their CMS MIPS Final Score of 90/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $16.79 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BRIAN BOLTON, M.D. reported a CMS MIPS final score of 90 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BRIAN BOLTON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BRIAN BOLTON, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/03/2008

NPI 1073761128

Primary specialty

Anatomic Pathology & Clinical Pathology Physician

Mid-sized

13,692 US NPIs in this specialty

MIPS final score

90/100 6.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Anatomic Pathology & Clinical Pathology Physician compares to other specialties among Illinois providers

Illinois providers

Anatomic Pathology & Clinical Pathology Physician share within Illinois

1. Anatomic Pathology & Clinical Pathology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anatomic Pathology & Clinical Pathology Physician share within Illinois

Medicare quality performance — MIPS

BRIAN BOLTON, M.D.'s 2023 MIPS final score plotted against the Anatomic Pathology & Clinical Pathology Physician national average

High performer (top quartile)
MIPS Final Score
90/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anatomic Pathology & Clinical Pathology Physician) — 90/100 vs national avg 83.1

0%100%National avg83%90%
MIPS final score (Anatomic Pathology & Clinical Pathology Physician) — 90/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BRIAN BOLTON, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1073761128. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BRIAN BOLTON, M.D. appears in the CMS NPPES registry as a Anatomic Pathology & Clinical Pathology Physician provider holding M.D. credentials at 303 E CHICAGO AVE, CHICAGO, IL, 60611, with a listed phone of (312) 503-8144. NPI 1073761128 was issued on 09/03/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOLTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Anatomic Pathology & Clinical Pathology Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90/100 for the 2023 performance year (Quality 80), compared with the national average of 83.1.

Anatomic Pathology & Clinical Pathology Physician is a mid-sized specialty nationwide, with 13,692 enrolled providers across 55 states and an average of 284 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

303 E CHICAGO AVE
CHICAGO, IL 60611

Provider Details

NPI 1073761128
Specialty Anatomic Pathology & Clinical Pathology Physician
Credentials M.D.
Gender Male
NPI Issued 09/03/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90
Final Score
Avg: 83.1
80
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN BOLTON, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ARLINGTON RIDGE PATHOLOGY SC
ARLINGTON HEIGHTS, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BRIAN BOLTON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Siemens Medical Solutions USA, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to BRIAN BOLTON, M.D.. To verify BRIAN BOLTON, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Anatomic Pathology & Clinical Pathology Physician Overview

How BRIAN BOLTON, M.D. fits within the Anatomic Pathology & Clinical Pathology Physician landscape nationally.

13,692
Anatomic Pathology & Clinical Pathology Physician Providers in US
55
States with Anatomic Pathology & Clinical Pathology Physician
284
Avg Claims per Provider

Nearby Anatomic Pathology & Clinical Pathology Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as BOLTON.

Compare Anatomic Pathology & Clinical Pathology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN BOLTON, M.D.'s specialty?
BRIAN BOLTON, M.D. specializes in Anatomic Pathology & Clinical Pathology Physician and practices in CHICAGO, Illinois. Credentials: M.D..
What is BRIAN BOLTON, M.D.'s Medicare quality score?
BRIAN BOLTON, M.D. has a CMS MIPS Final Score of 90/100 (Quality: 80). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN BOLTON, M.D. located?
BRIAN BOLTON, M.D. is located at 303 E CHICAGO AVE, CHICAGO, IL, 60611. Phone: (312) 503-8144.
What is BRIAN BOLTON, M.D.'s NPI number?
BRIAN BOLTON, M.D.'s National Provider Identifier (NPI) is 1073761128, issued on 09/03/2008.
How many Anatomic Pathology & Clinical Pathology Physician providers are there in the US?
There are 13,692 Anatomic Pathology & Clinical Pathology Physician providers across 55 states in the US. The average Anatomic Pathology & Clinical Pathology Physician provider writes 284 Medicare Part D claims per year.
Does BRIAN BOLTON, M.D. accept Medicare?
BRIAN BOLTON, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN BOLTON, M.D.'s credentials?
BRIAN BOLTON, M.D.'s NPI is 1073761128 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology