Active NPI 1255376455 Individual Practitioner Male Practitioner

Dr. Jason Bashir Boudjouk , MD

Internal Medicine • Warwick, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jason Boudjouk, MD is a certified Internal Medicine practicing in Warwick, RI. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Boudjouk delivers high-quality medical care to the local community at 190 COMMERCE DR.

Dr. Boudjouk 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

190 Commerce Dr

Warwick, RI 028862430

Telephone 4019215970

Fax 4019215973

Associated Practice Facility / Clinic

🏢 Dr. K. Humulock, Internal Medicine Inc. Facility NPI 1265770937

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +7.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

121 Specialists

Practicing in Warwick, RI (1079 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

47.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boudjouk (25 Years) 25 Yrs

Warwick Specialty Average (17.8 Years) 17.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	122	$250.00	$127.98
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	218	108	$50.00	$16.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$250.00	$130.51
99497 Advance care planning, first 30 minutes	106	106	$100.00	$82.49
99213 Established patient office or other outpatient visit, typically 15 minutes	102	75	$200.00	$91.12
93000 Routine ekg using at least 12 leads including interpretation and report	33	31	$60.00	$14.45
99442 Telephone medical discussion with physician, 11-20 minutes	26	25	$150.00	$91.42

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	105	$250.00	$129.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$250.00	$131.28
99213 Established patient office or other outpatient visit, typically 15 minutes	104	58	$200.00	$89.58
99497 Advance care planning, first 30 minutes	101	101	$100.00	$84.11
93000 Routine ekg using at least 12 leads including interpretation and report	46	40	$60.00	$14.80
99442 Telephone medical discussion with physician, 11-20 minutes	34	27	$102.94	$72.09

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	114	84	$229.82	$130.66
99497 Advance care planning, first 30 minutes	101	101	$100.00	$87.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$250.00	$135.03
99213 Established patient office or other outpatient visit, typically 15 minutes	92	63	$173.21	$94.20
93000 Routine ekg using at least 12 leads including interpretation and report	42	42	$60.00	$14.88
99442 Telephone medical discussion with physician, 11-20 minutes	31	24	$50.00	$49.29

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	107	79	$150.00	$134.81
99497 Advance care planning, first 30 minutes	91	91	$100.00	$88.81
99213 Established patient office or other outpatient visit, typically 15 minutes	91	53	$115.00	$95.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$250.00	$139.13
93000 Routine ekg using at least 12 leads including interpretation and report	34	32	$60.00	$15.62

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	113	76	$150.00	$113.80
99497 Advance care planning, first 30 minutes	89	89	$100.00	$89.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$250.00	$120.81
99213 Established patient office or other outpatient visit, typically 15 minutes	75	48	$115.00	$77.79
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$60.00	$17.93

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	171	100	$150.00	$112.80
99497 Advance care planning, first 30 minutes	100	100	$100.00	$88.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$250.00	$120.24
99213 Established patient office or other outpatient visit, typically 15 minutes	100	64	$115.00	$76.61
93000 Routine ekg using at least 12 leads including interpretation and report	43	43	$60.00	$17.73

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	190	108	$150.00	$108.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$250.00	$117.34
99497 Advance care planning, first 30 minutes	106	106	$100.00	$85.04
99213 Established patient office or other outpatient visit, typically 15 minutes	75	51	$115.00	$73.61
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$60.00	$17.23

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	210	112	$150.00	$107.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$250.00	$115.75
99497 Advance care planning, first 30 minutes	105	105	$100.00	$81.50
99213 Established patient office or other outpatient visit, typically 15 minutes	82	56	$115.00	$73.12
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$60.00	$17.04

Medical Specialties & State Licenses

CMS Verified: 2021-08-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD12133

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi Kent Hospital Pbo

1396864542 (RI)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kimberly Humulock , DO

Internal Medicine

NPI 1831154574

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2008

Registered at 190 COMMERCE DR, WARWICK, RI 028862430 (Tel: 4019215970)

📍

Updated Business Mailing Address May 21, 2008

Registered at 1 ASHLEY DR, LINCOLN, RI 028651434 (Tel: 4013343754)

👤

Provider Name / Credentials Updated May 21, 2008

Recorded as JASON BOUDJOUK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2008

Internal Medicine (License #MD12133 in RI)

🟢

Initial NPI Registration & Enumeration June 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255376455

Entity Type:

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

Enumeration Date: June 19, 2006

Last Update: August 12, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1 Ashley Dr

Lincoln, RI 028651434

Phone: 4013343754

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.