Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730840729 Individual Practitioner Male Practitioner

Bradley Scott Boutcher , PA-C

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bradley Boutcher, PA-C is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 5 years of clinical experience since completing medical education in 2021, Bradley Boutcher delivers high-quality medical care to the local community at 836 PRUDENTIAL DRIVE.

Bradley Boutcher is affiliated with Cardiothoracic And Vascular Surgical Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope, coronary artery bypass using vein or artery graft, 2 grafts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

836 Prudential Drive
Ste 1804

Jacksonville, FL 322078345

Telephone 9043983888
Fax 9044006675
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boutcher (5 Years) 5 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft
64 64 $832.00 $245.97
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
25 25 $7.00 $2.21
33518 Coronary artery bypass using vein or artery graft, 2 grafts
22 22 $185.00 $56.64
33517 Combined vein and artery heart artery bypass
22 22 $84.00 $25.86
33519 Coronary artery bypass using vein or artery graft, 3 grafts
17 17 $363.65 $74.90

Medical Specialties & State Licenses

CMS Verified: 2025-03-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 9115278

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Cardiothoracic And Vascular Surgical Associates Pa

1824 King St, Jacksonville, FL 322044736

Phone: 9043843343

Cardiothoracic And Vascular Surgical Associates Pa

836 Prudential Dr, Jacksonville, FL 322078345

Phone: 9043983888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Erin Moore , MD

Surgery - Vascular Surgery

NPI 1033119037

Doctor of Medicine (M.D.)

Jeffrey Ricketts , PA

Physician Assistant - Surgical

NPI 1063495281

Physician Assistant

Dr. Peter Bolan , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1174502314

Doctor of Medicine (M.D.)

Jennifer Card , PA-C

Physician Assistant - Surgical

NPI 1174787303

Physician Assistant (Certified)

Dr. Nathan Bates , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1235192733

Doctor of Medicine (M.D.)

Craig Acosta , PA-C

Physician Assistant - Surgical

NPI 1467416479

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 02, 2023

Registered at 836 PRUDENTIAL DRIVE, STE 1804, JACKSONVILLE, FL 322078345 (Tel: 9043983888)

📍
Updated Business Mailing Address October 02, 2023

Registered at 836 PRUDENTIAL DRIVE, STE 1804, JACKSONVILLE, FL 322078345 (Tel: 9043983888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2023

Physician Assistant (License #9115278 in FL)

📍
Updated Practice Location January 04, 2023

Registered at 10475 CENTURION PKWY N STE 220, JACKSONVILLE, FL 322565004 (Tel: 9046340640)

📍
Updated Business Mailing Address January 04, 2023

Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340460)

NPI Profile Active January 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2022

Registered at 580 W 8TH ST # TOWER1, JACKSONVILLE, FL 322096533 (Tel: 9043831022)

📍
Updated Business Mailing Address January 06, 2022

Registered at 2670 POST ST APT 2, JACKSONVILLE, FL 322044247

👤
Provider Name / Credentials Updated January 06, 2022

Recorded as BRADLEY BOUTCHER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730840729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2022
Last Update: March 31, 2025
Sole Proprietor: No

Mailing Address

836 Prudential Drive, Ste 1804

Jacksonville, FL 322078345

Phone: 9043983888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.