JASON PETER BOULWARE (D.O.) – Emergency Medicine Physician, NPI 1013211168
Emergency Medicine Physician
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NPPES metrics only — not quality of care.
5,791 EMERGENCY MEDICINE in CA
Provider Addresses for JASON PETER BOULWARE (D.O.)
2740 Fulton Ave Ste 220
Sacramento, CA 958215186
Phone: (908) 663-2929
Type: Location
455 Toll Gate Rd
Warwick, RI 028862759
Phone: (401) 737-7010
Fax: (401) 736-4546
Type: Location
363 Highland Ave
Fall River, MA 027203703
Phone: (508) 973-7041
Fax: (508) 973-7678
Type: Location
515 VALLEY ST STE 203
MAPLEWOOD, NJ 070404300
Phone: (908) 663-2929
Type: Mailing
515 VALLEY ST
STE 203
MAPLEWOOD, NJ 070404300
Phone: (908) 663-2929
Type: Mailing
2353 HUGHES AVE
APT 1A
BRONX, NY 104588267
Phone: (646) 737-4364
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120227000387 | I | Emergency Medicine | NY | TBD |
| I20121024000165 | I | Emergency Medicine | RI | TBD |
| I20130624000121 | I | Emergency Medicine | NJ | TBD |
| I20200814002710 | I | Emergency Medicine | OH | TBD |
| I20210420001033 | I | Emergency Medicine | MA | TBD |
| I20260107004365 | I | Emergency Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 565 | 550 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 538 | 503 | $0 |
| 99291 | Critical care, first 30-74 minutes | 195 | 192 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 158 | 158 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | 31 | $0 |
Insurance plans in this area (ZIP 95821)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Nurse Practitioner | NJ | |
| Physician Assistant | CA | |
| Physician Assistant | PA | |
| Physician Assistant | TX | |
| Emergency Medicine | OH | |
| Emergency Medicine | NY | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | NJ |
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