MICHAEL D BOUCHER (P.A.) – Physician Assistant, NPI 1386068310
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
Provider Addresses for MICHAEL D BOUCHER (P.A.)
31588 RAILROAD CANYON RD
CANYON LAKE, CA 925879468
Phone: (951) 821-3252
Fax: (951) 471-8026
Type: Mailing
141 FRANKLIN AVE
BROOKLYN, NY 112052728
Phone: (212) 257-2424
Type: Mailing
3808 14TH AVE
BROOKLYN, NY 112183610
Phone: (718) 972-2424
Type: Location
29997 CANYON HILLS RD STE 1604
LAKE ELSINORE, CA 92532
Phone: (951) 244-2224
Fax: (951) 244-1244
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: 2021-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140806002575 | I | Physician Assistant | CA | TBD |
| I20211130001945 | I | Physician Assistant | NY | 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 | 124 | 123 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 77 | 76 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 62 | 62 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 37 | 37 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 32 | 32 | $0 |
Insurance plans in this area (ZIP 92587)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Internal Medicine | NY | |
| - | NY | |
| Certified Nurse Midwife (Cnm) | NY | |
| - | NY | |
| Pediatric Medicine, Internal Medicine | NY | |
| - | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY |
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