Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255933263 Individual Practitioner Female Practitioner

Emily Brooke Boucher , PA-C

Physician Assistant • Kettering, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Emily Boucher, PA-C is a certified Physician Assistant practicing in Kettering, OH. With approximately 6 years of clinical experience since completing medical education in 2020, Emily Boucher delivers high-quality medical care to the local community at 3737 SOUTHERN BLVD.

Emily Boucher is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3737 Southern Blvd
Boonshoft Bld. Floor E

Kettering, OH 45429

Telephone 9372941489
Associated Practice Facility / Clinic
🏢 Far Oaks Orthopedists, Inc Facility NPI 1225258114

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kettering, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -1.7 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Kettering, OH (5376 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boucher (6 Years) 6 Yrs
Kettering Specialty Average (7.7 Years) 7.7 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
70 53 $188.00 $73.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
43 37 $128.00 $63.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
21 21 $360.00 $106.08
81003 Automated urinalysis test
19 18 $31.00 $2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 17 $279.00 $103.31

Medical Specialties & State Licenses

CMS Verified: 2021-03-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License None 50.006744RX

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 1160683

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.

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958251

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958646

Kettering Independent Medical Group Inc

3737 Southern Blvd, Kettering, OH 454290135

Phone: 9372941489

Kettering Independent Medical Group Inc

3535 Pentagon Park Blvd, Dayton, OH 454311705

Phone: 9374902264

Kettering Independent Medical Group Inc

3535 Pentagon Blvd, Beavercreek, OH 454311705

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1023597143

Doctor of Medicine (M.D.)

NPI 1215298104

Doctor of Medicine (M.D.), Master of Business Administration

NPI 1225223043

Doctor of Medicine (M.D.)

NPI 1255330676

Doctor of Medicine (M.D.)

Tiarah Todd , CNP

Nurse Practitioner - Family

NPI 1285147827

Certified Nurse Practitioner

Jessica Christman , APRN, CNP

Nurse Practitioner - Family

NPI 1336927508

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address March 08, 2021

Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621306)

👤
Provider Name / Credentials Updated March 08, 2021

Recorded as EMILY BOUCHER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2021

Physician Assistant (License #1160683 in OH)

NPI Profile Active November 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2020

Registered at 3737 SOUTHERN BLVD, BOONSHOFT BLD. FLOOR E, KETTERING, OH 45429 (Tel: 9372941489)

📍
Updated Business Mailing Address November 13, 2020

Registered at 251 N MAIN ST # 169, CEDARVILLE, OH 453148501

👤
Provider Name / Credentials Updated November 13, 2020

Recorded as EMILY BOUCHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2020

Physician Assistant (License #50.006744RX in None)

🟢
Initial NPI Registration & Enumeration November 13, 2020

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: 1255933263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2020
Last Update: March 08, 2021
Sole Proprietor: Yes

Mailing Address

1 Prestige Pl Ste 550

Miamisburg, OH 453426115

Phone: 9377621306

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.