Active NPI 1386068310 Individual Practitioner Male Practitioner

Michael D Boucher , PA

Physician Assistant • Brooklyn, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Boucher, PA is a certified Physician Assistant practicing in Brooklyn, NY. With approximately 12 years of clinical experience since completing medical education in 2014, Michael Boucher delivers high-quality medical care to the local community at 3808 14TH AVE.

Michael Boucher is affiliated with Maimonides Faculty Practice Plan and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3808 14th Ave

Brooklyn, NY 112183610

Telephone 7189722424

Associated Practice Facility / Clinic

🏢 Boro Chiropractic Pc Facility NPI 1306085774

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brooklyn, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +0.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

1293 Specialists

Practicing in Brooklyn, NY (15701 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boucher (12 Years) 12 Yrs

Brooklyn Specialty Average (11.3 Years) 11.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	104	102	$220.00	$87.97
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	33	33	$150.00	$68.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$322.57	$108.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$301.14	$124.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	14	$125.71	$34.62
71046 X-ray of chest, 2 views	11	11	$106.73	$32.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	123	$205.55	$87.36
99284 Emergency department visit with moderate level of medical decision making	77	76	$1026.96	$109.48
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	62	62	$98.39	$34.06
99285 Emergency department visit for life threatening or functioning severity	37	37	$1558.81	$159.67
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	32	32	$150.00	$30.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$302.00	$109.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$130.38	$55.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$300.00	$118.71
71046 X-ray of chest, 2 views	15	15	$110.00	$31.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$1189.00	$156.27
G0008 Administration of influenza virus vaccine	13	13	$61.15	$33.34
81002 Urinalysis, manual test	12	12	$9.00	$3.41
99283 Emergency department visit with low level of medical decision making	12	12	$683.00	$65.41
90662 Influenza vaccine split virus, preservative free	12	12	$118.00	$71.93
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$30.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	51	$162.15	$23.41
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	51	50	$143.53	$34.99
99285 Emergency department visit for life threatening or functioning severity	30	30	$1516.00	$162.98
99284 Emergency department visit with moderate level of medical decision making	28	28	$1026.00	$112.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$200.00	$59.06
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$250.00	$92.28
99283 Emergency department visit with low level of medical decision making	15	15	$683.00	$66.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	58	55	$129.22	$35.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	37	$112.56	$23.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$200.00	$57.65
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$200.00	$75.96
0013A Adm sarscov2 100mcg/0.5ml3rd	15	15	$100.00	$47.64
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$250.00	$93.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	70	69	$1512.50	$153.90
99284 Emergency department visit with moderate level of medical decision making	33	33	$1011.36	$106.00
99283 Emergency department visit with low level of medical decision making	15	15	$625.00	$57.71
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$116.00	$67.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	54	50	$562.00	$102.14
99283 Emergency department visit with low level of medical decision making	54	53	$376.00	$53.96
99285 Emergency department visit for life threatening or functioning severity	52	51	$837.00	$150.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$173.00	$95.83
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$116.00	$65.95
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$37.00	$7.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	74	72	$851.20	$148.16
99284 Emergency department visit with moderate level of medical decision making	72	68	$562.00	$100.93
99283 Emergency department visit with low level of medical decision making	55	46	$376.00	$53.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	19	$39.42	$7.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	76	$114.05	$62.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$166.00	$84.12
81003 Automated urinalysis test	34	34	$15.00	$3.02
36415 Insertion of needle into vein for collection of blood sample	28	28	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	27	$25.00	$10.45
80048 Blood test, basic group of blood chemicals (calcium, total)	27	27	$50.00	$10.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$167.00	$93.51
J0696 Injection, ceftriaxone sodium, per 250 mg	21	11	$15.00	$0.60
84484 Troponin (protein) analysis, quantitative	17	17	$25.00	$13.23
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$27.00	$14.71
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	14	12	$6.00	$0.99

Medical Specialties & State Licenses

CMS Verified: 2024-08-21

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 026903

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1386068310 (NV)

Commercial Insurance / Payer ID Railroad Medicare

P01718733 (NV)

Hospital & Practice Group Affiliations

Maimonides Faculty Practice Plan

4802 10th Ave, Brooklyn, NY 112192916

Phone: 7182836000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Brittany Grogins , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1881301521

PHYSICIANASSISTANT

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location August 21, 2024

Registered at 3808 14TH AVE, BROOKLYN, NY 112183610 (Tel: 7189722424)

📍

Updated Business Mailing Address August 21, 2024

Registered at 141 FRANKLIN AVE, BROOKLYN, NY 112052728 (Tel: 2122572424)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Physician Assistant (License #026903 in NY)

📍

Updated Practice Location September 06, 2019

Registered at 29997 CANYON HILLS RD STE 1604, LAKE ELSINORE, CA 92532 (Tel: 9512442224)

📍

Updated Business Mailing Address September 06, 2019

Registered at 31588 RAILROAD CANYON RD, CANYON LAKE, CA 925879468 (Tel: 9518213252)

✅

NPI Profile Active November 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2016

Registered at 4475 S EASTERN AVE, LAS VEGAS, NV 891197826 (Tel: 7026695902)

📍

Updated Business Mailing Address November 03, 2016

Registered at PO BOX 15645, LAS VEGAS, NV 891145645 (Tel: 7025793298)

👤

Provider Name / Credentials Updated November 03, 2016

Recorded as MICHAEL BOUCHER, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2016

Physician Assistant (License #1612 in NV)

🟢

Initial NPI Registration & Enumeration February 11, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386068310

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 11, 2014

Last Update: August 21, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

141 Franklin Ave

Brooklyn, NY 112052728

Phone: 2122572424

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.