Active NPI 1699708883 Individual Practitioner Female Practitioner

Dr. Nicole Colette Bouchard , MD

General Practice • Kingston, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Bouchard, MD is a certified General Practice practicing in Kingston, NY. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Bouchard delivers high-quality medical care to the local community at 361 BROADWAY.

Dr. Bouchard is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

361 Broadway

Kingston, NY 124015151

Telephone 4625019636

Associated Practice Facility / Clinic

🏢 Wendy R Parish, M.d., P.c. Facility NPI 1982696365

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kingston, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -2.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Kingston, NY (818 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bouchard (27 Years) 27 Yrs

Kingston Specialty Average (29.5 Years) 29.5 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
99285 Emergency department visit for life threatening or functioning severity	168	166	$1306.36	$188.16
99284 Emergency department visit with moderate level of medical decision making	67	66	$889.28	$130.38
99291 Critical care, first 30-74 minutes	64	63	$1736.23	$226.60
99283 Emergency department visit with low level of medical decision making	22	22	$590.64	$76.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	162	159	$1421.86	$192.71
99284 Emergency department visit with moderate level of medical decision making	95	93	$928.74	$133.77
99291 Critical care, first 30-74 minutes	41	40	$1784.22	$233.03
99283 Emergency department visit with low level of medical decision making	20	20	$635.30	$80.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	136	131	$1421.81	$199.27
99284 Emergency department visit with moderate level of medical decision making	101	99	$862.63	$140.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	62	57	$63.00	$9.43
99291 Critical care, first 30-74 minutes	58	57	$1827.24	$244.11
99283 Emergency department visit with low level of medical decision making	40	38	$600.85	$83.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	145	144	$1381.38	$204.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	96	92	$63.00	$9.60
99284 Emergency department visit with moderate level of medical decision making	82	80	$862.34	$142.22
99283 Emergency department visit with low level of medical decision making	50	49	$480.90	$83.11
99291 Critical care, first 30-74 minutes	37	37	$1864.03	$251.85
99282 Emergency department visit with straightforward medical decision making	13	13	$270.00	$50.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	95	88	$63.00	$9.78
99285 Emergency department visit for life threatening or functioning severity	67	66	$1261.07	$201.40
99284 Emergency department visit with moderate level of medical decision making	50	50	$828.00	$138.74
99283 Emergency department visit with low level of medical decision making	47	44	$468.00	$75.32
99291 Critical care, first 30-74 minutes	39	39	$1903.77	$256.96
99292 Critical care, each additional 30 minutes	15	12	$865.00	$128.94
99220 Hospital observation care, typically 70 minutes	12	12	$1149.50	$212.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	124	114	$63.00	$9.52
99284 Emergency department visit with moderate level of medical decision making	118	112	$806.00	$132.24
99283 Emergency department visit with low level of medical decision making	56	54	$448.00	$69.73
99285 Emergency department visit for life threatening or functioning severity	49	48	$1211.00	$194.78
99291 Critical care, first 30-74 minutes	25	25	$1931.00	$250.86
71046 X-ray of chest, 2 views	19	19	$82.00	$12.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	142	130	$63.00	$9.42
99284 Emergency department visit with moderate level of medical decision making	119	117	$806.00	$130.85
99283 Emergency department visit with low level of medical decision making	58	52	$448.00	$69.02
99285 Emergency department visit for life threatening or functioning severity	55	55	$1211.00	$192.46
99291 Critical care, first 30-74 minutes	27	27	$1931.00	$246.35
99220 Hospital observation care, typically 70 minutes	25	25	$1071.00	$208.22
99218 Hospital observation care typically 30 minutes	16	16	$460.00	$112.06
71045 X-ray of chest, 1 view	15	15	$69.00	$10.21
99217 Hospital observation care on day of discharge	15	15	$492.00	$78.26
71046 X-ray of chest, 2 views	14	14	$82.00	$12.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	141	127	$63.00	$9.40
99284 Emergency department visit with moderate level of medical decision making	109	107	$806.00	$131.42
99285 Emergency department visit for life threatening or functioning severity	103	102	$1211.00	$195.17
99283 Emergency department visit with low level of medical decision making	54	52	$448.00	$69.38
99291 Critical care, first 30-74 minutes	23	23	$1931.00	$251.34
99220 Hospital observation care, typically 70 minutes	19	19	$1071.00	$206.84
99217 Hospital observation care on day of discharge	17	17	$492.00	$81.65

Medical Specialties & State Licenses

CMS Verified: 2025-07-15

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 263528

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02694333 (NY)

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

111 E 77th St, New York, NY 100751850

Phone: 2124343966

North Shore-Lij Medical Pc

300 Community Dr Ll, Manhasset, NY 110303816

Phone: 5165622229

North Shore-Lij Medical Pc

300 Community Dr, Manhasset, NY 110303816

North Shore-Lij Medical Pc

350 Community Dr, Manhasset, NY 110303816

Phone: 5165623845

North Shore-Lij Medical Pc

100 E 77th St, New York, NY 100751850

North Shore-Lij Medical Pc

330 Community Dr, Manhasset, NY 110303816

Phone: 5167082550

Secondary Practice Locations

105 Marys Ave

Kingston, NY 124015829

Phone: 8453342500

30 7th Ave

New York, NY 100116629

Phone: 6466656910

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 15, 2025

Registered at 361 BROADWAY, KINGSTON, NY 124015151 (Tel: 4625019636)

📍

Updated Business Mailing Address July 15, 2025

Registered at 98 UPPER WHITFIELD RD, ACCORD, NY 124045930 (Tel: 6462501963)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2025

General Practice (License #263528 in NY)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 622 W 168 ST PH 1 137, COLUMBIA UNIVERSITY MED CENTER, NEW YORK, NY 100323784 (Tel: 2123052995)

📍

Updated Business Mailing Address July 08, 2007

Registered at 622 W 168 ST PH 1 137, ASSOCIATES IN EMERGENCY SERVICES CUMC, NEW YORK, NY 100323784 (Tel: 2123052995)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NICOLE BOUCHARD, MD

🎓

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

Emergency Medicine (License #002359 in NY)

🟢

Initial NPI Registration & Enumeration July 09, 2006

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: 1699708883

Entity Type:

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

Enumeration Date: July 09, 2006

Last Update: July 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

98 Upper Whitfield Rd

Accord, NY 124045930

Phone: 6462501963

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.