Active NPI 1356336358 Individual Practitioner Male Practitioner

Dr. Michael S Bouton , MD

Surgery • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bouton, MD is a certified Surgery practicing in Fargo, ND. With approximately 42 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1984, Dr. Bouton delivers high-quality medical care to the local community at 801 BROADWAY N.

Dr. Bouton accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, partial removal of breast, 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

801 Broadway N

Fargo, ND 581023641

Telephone 7012342251

Fax 7012342050

Associated Practice Facility / Clinic

🏢 Sanford Medical Center Fargo Facility NPI 1528009412

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fargo, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +16.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

32 Specialists

Practicing in Fargo, ND (148 Statewide)

Telehealth Adoption Rate

9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bouton (42 Years) 42 Yrs

Fargo Specialty Average (25.5 Years) 25.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	61	57	$82.00	$62.79
19301 Partial removal of breast	29	27	$1813.61	$548.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$224.00	$171.50
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1319.60	$205.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	94	$82.00	$64.43
19301 Partial removal of breast	55	48	$2061.04	$628.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$224.00	$176.18
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	34	34	$1301.91	$216.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$121.00	$95.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$166.82	$119.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	105	$82.00	$65.35
19301 Partial removal of breast	62	52	$1959.10	$636.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$224.00	$180.12
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	42	42	$1285.00	$217.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$165.00	$125.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$121.00	$96.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	96	$77.59	$65.49
19301 Partial removal of breast	76	65	$1914.88	$624.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$206.67	$182.40
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	44	44	$1263.50	$210.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$170.28	$143.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$156.60	$134.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$108.64	$95.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	91	$58.00	$51.30
19301 Partial removal of breast	65	53	$1879.00	$659.62
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	39	39	$1280.87	$233.49
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	$192.00	$169.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$127.48	$111.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$147.00	$129.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$90.00	$79.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	111	$58.00	$50.44
19301 Partial removal of breast	60	57	$1791.07	$649.94
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	49	49	$1188.65	$225.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$192.00	$166.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$127.00	$104.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$90.00	$78.26
19303 Total removal of breast	14	14	$2796.00	$971.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$87.00	$75.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	101	$58.00	$50.04
19301 Partial removal of breast	61	52	$1698.83	$615.31
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	38	38	$1110.36	$213.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$192.00	$164.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$127.00	$108.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$90.00	$77.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$147.00	$123.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	105	$56.91	$49.09
19301 Partial removal of breast	45	34	$1584.37	$604.76
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1092.57	$218.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$187.13	$164.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$96.19	$76.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$124.69	$108.49

Medical Specialties & State Licenses

CMS Verified: 2022-03-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ND 10920

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 AR R4107

Surgery

NUCC Taxonomy Code: 208600000X

State License TX G9329

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

14800 (ND)

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Erik Fetner , MD

Colon & Rectal Surgery

NPI 1033302062

Doctor of Medicine (M.D.)

Dr. Steven Briggs , MD

Surgery - Surgical Critical Care

NPI 1063423895

Doctor of Medicine (M.D.)

Bethany Johnson , FNP-BC

Nurse Practitioner

NPI 1104751320

Family Nurse Practitioner (Board Certified)

Shane Meyer , PA-C

Physician Assistant - Surgical

NPI 1154675577

Physician Assistant (Certified)

Stacy Krueger , NP

Nurse Practitioner

NPI 1285980565

Nurse Practitioner

Dr. Enej Gasevic , MD

Surgery - Surgical Critical Care

NPI 1376753459

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2022

Surgery (License #R4107 in AR)

✅

NPI Profile Active January 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2012

Registered at 801 BROADWAY N, FARGO, ND 581023641 (Tel: 7012342251)

📍

Updated Business Mailing Address January 06, 2012

Registered at PO BOX 2010, FARGO, ND 581220605

👤

Provider Name / Credentials Updated January 06, 2012

Recorded as MICHAEL BOUTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2012

Surgery (License #10920 in ND)

🟢

Initial NPI Registration & Enumeration September 15, 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: 1356336358

Entity Type:

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

Enumeration Date: September 15, 2005

Last Update: March 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2010

Fargo, ND 581220605

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.