DR. LINDA J BOUCHARD (M.D.) – Obstetrics & Gynecology Physician, NPI 1275569352
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
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Provider Addresses for DR. LINDA J BOUCHARD (M.D.)
1234, East North Street, Manteca, San Joaquin County, California, 95336, United States
SUITE 102
MANTECA, CA 95336
Phone: (209) 824-2202
Fax: (209) 824-2205
Type: Location
Lodi Post Office, Downtown Lodi Walking Path, Lodi, San Joaquin County, California, 94240, United States
LODI, CA 952411090
Phone: (209) 334-1800
Fax: (209) 334-1430
Type: Mailing
1191 E YOSEMITE AVE STE C
MANTECA, CA 953365071
Phone: (209) 824-2202
Fax: (209) 824-2205
Type: Location
520 E CENTER ST
MANTECA, CA 953364720
Phone: (209) 860-4393
Fax: (209) 650-0684
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($25).
Total Amount
$91
General + Research + Ownership
Payments
6
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050503000337 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 81 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 75 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 95336)
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