DAVID S BOISONEAU (M.D.) – Otolaryngology Physician, NPI 1467429597

DAVID S BOISONEAU (M.D.) is a healthcare provider. based in Waterford, Connecticut. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 036632 (CT). The NPI Number for DAVID S BOISONEAU (M.D.) is 1467429597

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DAVID S BOISONEAU (M.D.)
NPI
1467429597
Phone
(860) 442-0407
Address
201 BOSTON POST RD
Enumeration Date
7 March 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8604420407226
Graduation Year
2005 (21 years ago)
PAC ID
7012031222
Group Practice PAC ID
3678607470
Professional Enrollment ID
I20100831000339
Address ID
CT063852805WA201XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

160 OTOLARYNGOLOGY in CT

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Provider Addresses for DAVID S BOISONEAU (M.D.)

  • 201, Boston Post Road, Morningside Park, Jordan Village, Waterford, Southeastern Connecticut Planning Region, Connecticut, 06385, United States

    WATERFORD, CT 063852805

    Phone: (860) 442-0407

    Fax: (860) 444-2015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,408.

Total Amount is formed as General ($1,408) + Research ($0) + Ownership ($0) = $1,408.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($851).

Total Amount

$1,408

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100831000339IOtolaryngologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,20020$0
69210Removal of impacted ear wax188148$0
99213Established patient office or other outpatient visit, 20-29 minutes151129$0
99212Established patient office or other outpatient visit, 10-19 minutes148116$0
99203New patient office or other outpatient visit, 30-44 minutes119119$0
View full utilization report →

Insurance plans in this area (ZIP 06385)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678607470View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
-CT
-CT
Physician AssistantNY
O T O L A R Y N G O L O G YCT
Qualified AudiologistCT
O T O L A R Y N G O L O G YCT
Qualified AudiologistCT
-CT

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID S BOISONEAU (M.D.)'s NPI?
Yes. DAVID S BOISONEAU (M.D.) is listed with NPI 1467429597 in the public NPI dataset.
Is DAVID S BOISONEAU (M.D.) listed as active for patients and plans?
The listing shows DAVID S BOISONEAU (M.D.) as active in the NPI system.
What is DAVID S BOISONEAU (M.D.) best known for clinically?
Directory data describes DAVID S BOISONEAU (M.D.) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does DAVID S BOISONEAU (M.D.) list a practice location?
Patients near Waterford, Connecticut may find DAVID S BOISONEAU (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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