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Active NPI 1821090747 Individual Practitioner Male Practitioner

Dr. Alan Samuel Boulos , MD

Neurological Surgery • Albany, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alan Boulos, MD is a certified Neurological Surgery practicing in Albany, NY. With approximately 32 years of clinical experience since graduating from Albany Medical College Of Union University in 1994, Dr. Boulos delivers high-quality medical care to the local community at 47 NEW SCOTLAND AVE.

Dr. Boulos is affiliated with Albany Medical College and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of blood vessel, insertion of catheter into artery on one side of neck or chest for diagnosis or treatment including radiological supervision and interpretation, insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

47 New Scotland Ave

Albany, NY 122083412

Telephone 5182625088
Fax 5182625400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Albany, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +12.0 yrs vs City Avg
City Avg: 20.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Albany, NY (555 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boulos (32 Years) 32 Yrs
Albany Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
75898 Imaging of blood vessel
38 19 $270.00 $87.11
36228 Insertion of catheter into artery on one side of neck or chest for diagnosis or treatment including radiological supervision and interpretation
31 20 $4341.13 $251.35
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist
28 24 $7471.29 $307.96
99213 Established patient office or other outpatient visit, typically 15 minutes
17 16 $151.00 $66.70
75894 Radiological supervision and interpretation of obstruction of blood vessel via catheter
16 14 $1638.00 $69.23
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes
15 14 $90.00 $12.33
61624 Occlusion of central nervous system or spinal cord artery
15 14 $4883.00 $1010.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $195.00 $82.60

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License NY 216291-1

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02310474 (NY)

Hospital & Practice Group Affiliations

Albany Medical College

47 New Scotland Ave, Albany, NY 122083412

Phone: 5182625633

Practice Associates & Co-Workers

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

13 Associated Practitioners
Amanda Custozzo

Student in an Organized Health Care Education/Training Program

NPI 1083242994
Dr. John Waldman , MD

Surgery - Pediatric Surgery

NPI 1093701815

Doctor of Medicine (M.D.)

Alyssa Heath , FNP

Registered Nurse - Neuroscience

NPI 1386164721

Family Nurse Practitioner

Dr. Kevin Mansfield , MD

Neurological Surgery

NPI 1396988051

Doctor of Medicine (M.D.)

Jessica Fitzgerrald , FNP-C

Neurological Surgery

NPI 1407537699

Family Nurse Practitioner (Certified)

Dr. Darryl Dirisio , MD

Neurological Surgery

NPI 1407858830

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 47 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: 5182625088)

📍
Updated Business Mailing Address July 08, 2007

Registered at 47 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: 5182625088)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ALAN BOULOS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Neurological Surgery (License #216291-1 in NY)

🟢
Initial NPI Registration & Enumeration August 11, 2005

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: 1821090747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

47 New Scotland Ave

Albany, NY 122083412

Phone: 5182625088

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.