Grigorii Gennadiyouych Bouldo, D.O.
NPI 1912260787ActiveIndividual· Family Medicine· Staunton, VA
Family Medicine (D.O.) with Select Physical Therapy Holdings Inc and 1 other group, practicing in Staunton, Virginia. Their prescriptions cost Medicare Part D more than their services did: $366,570 for 5,432 claims, against $89,373 paid for services in 2024. Lists Augusta Health and 1 other hospital as hospital affiliations.
Overview
| NPI | 1912260787 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 18, 2012 |
| Last updated in NPPES | Sep 5, 2023 |
| Certified by provider | Sep 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0116025455 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 316 |
|---|---|
| Services billed | 1,883 across 74 procedure codes |
| Paid by Medicare | $89,373 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,432 · 10,599 30-day fills |
|---|---|
| Patients | 758 |
| Total drug cost | $366,570 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
- Carilion Healthcare CorporationPearisburg, VA · 536 clinicians
Hospital affiliations
- Augusta HealthFishersville, VA
- Sentara Rmh Medical CenterHarrisonburg, VA
Other facilities
- Amedisys Home Health CareHome health agency · Staunton, VA
- Augusta Home Care,Home health agency · Fishersville, VA
- Interim Healthcare - CharlottesvilleHome health agency · Charlottesville, VA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 family medicine physicians in Staunton · All family medicine physicians in Virginia