Active NPI 1154305720 Individual Practitioner Female Practitioner

Dr. Susan K Boolbol , MD

Surgery • Poughkeepsie, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Susan Boolbol, MD is a certified Surgery practicing in Poughkeepsie, NY. With approximately 32 years of clinical experience since graduating from George Washington University School Of Medicine in 1994, Dr. Boolbol delivers high-quality medical care to the local community at 45 READE PL.

Dr. Boolbol is affiliated with Nuvance Health Medical Practice Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 Reade Pl

Poughkeepsie, NY 126013947

Telephone 8452141837

Associated Practice Facility / Clinic

🏢 Health Quest Facility NPI 1295794162

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Poughkeepsie, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +12.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

25 Specialists

Practicing in Poughkeepsie, NY (2269 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boolbol (32 Years) 32 Yrs

Poughkeepsie Specialty Average (19.8 Years) 19.8 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	76	$512.00	$189.81
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	57	22	$92.00	$33.53
19301 Partial removal of breast	28	22	$2628.00	$445.68
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	24	18	$3444.00	$887.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$638.79	$222.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$504.00	$177.98
38900 Lymph node imaging during surgery	12	12	$541.00	$145.61
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1757.00	$238.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	126	40	$92.00	$33.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	97	64	$512.00	$194.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$504.00	$177.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$626.00	$233.04
19301 Partial removal of breast	24	23	$2628.00	$420.85
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	22	20	$3444.00	$919.66
38900 Lymph node imaging during surgery	17	17	$541.00	$153.36
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1757.00	$265.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$368.00	$139.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	58	33	$88.76	$36.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	36	$351.64	$141.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	31	$492.36	$199.43
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$249.84	$100.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$485.42	$185.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$602.00	$245.17
19301 Partial removal of breast	24	19	$2539.46	$436.55
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	23	18	$3329.91	$951.04
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1706.60	$266.38
38900 Lymph node imaging during surgery	14	14	$526.14	$166.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	63	$575.81	$200.98
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	91	32	$118.19	$36.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$441.80	$140.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$767.78	$241.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$565.73	$182.01
19301 Partial removal of breast	32	26	$1928.14	$450.37
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	26	23	$3061.14	$988.49
38900 Lymph node imaging during surgery	18	17	$493.33	$162.45
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	17	$1582.93	$266.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	42	$385.00	$160.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$441.00	$180.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$552.00	$228.01
99354 Prolonged office or other outpatient service first hour	29	27	$266.00	$141.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$286.00	$119.46
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	22	17	$2465.00	$888.59
19301 Partial removal of breast	19	17	$1846.00	$425.28
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	12	$1240.00	$290.77
38900 Lymph node imaging during surgery	13	11	$393.00	$161.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	77	$306.88	$88.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$320.67	$89.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$407.78	$125.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$613.33	$190.65
19301 Partial removal of breast	13	12	$3686.92	$440.00
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	12	$4503.85	$971.01
99354 Prolonged office or other outpatient service first hour	12	12	$350.00	$137.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	149	$250.31	$87.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	70	56	$350.00	$124.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$500.00	$190.02
99354 Prolonged office or other outpatient service first hour	23	21	$320.00	$136.11
19301 Partial removal of breast	19	18	$4300.00	$396.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$400.00	$145.53
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	19	18	$5410.00	$1018.53
76998 Ultrasonic guidance during surgery	18	17	$630.00	$73.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	120	$260.21	$87.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	35	$369.10	$123.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$400.00	$145.69

Medical Specialties & State Licenses

CMS Verified: 2021-12-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 2101701

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License CT 67054

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02169877 (NY)

Hospital & Practice Group Affiliations

Nuvance Health Medical Practice Pc

21 Reade Pl, Poughkeepsie, NY 126013968

Phone: 8452141840

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Priyam Pattnaik , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003226937

Doctor of Medicine (M.D.)

Christine Wilson , AGACNP

Nurse Practitioner - Acute Care

NPI 1003608621

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Zeeshan Irani , DO, MSMED

Student in an Organized Health Care Education/Training Program

NPI 1003667148

Doctor of Osteopathic Medicine (D.O.), MSMED

Dianne Thomson , PA

Physician Assistant - Surgical

NPI 1003847377

Physician Assistant

Dr. James Sharp , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003957549

Doctor of Medicine (M.D.)

Dr. Domenico Mastandrea , DO

Emergency Medicine

NPI 1013236389

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 06, 2021

Registered at 45 READE PL, POUGHKEEPSIE, NY 126013947 (Tel: 8452141837)

📍

Updated Business Mailing Address December 06, 2021

Registered at 21 READE PL STE 2100, POUGHKEEPSIE, NY 126013968 (Tel: 8452141837)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2021

Surgery (License #67054 in CT)

✅

NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2014

Registered at 10 UNION SQ E, SUITE 4C, NEW YORK, NY 100033314 (Tel: 2128448953)

📍

Updated Business Mailing Address January 03, 2014

Registered at PO BOX 95000-2441, PHILADELPHIA, PA 191952441 (Tel: 2128448953)

👤

Provider Name / Credentials Updated January 03, 2014

Recorded as SUSAN BOOLBOL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

Surgery (License #2101701 in NY)

🟢

Initial NPI Registration & Enumeration December 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154305720

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: December 06, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21 Reade Pl Ste 2100

Poughkeepsie, NY 126013968

Phone: 8452141837

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.