DR. MICHAEL BOUGOULIAS (M.D.) – Family Medicine Physician, NPI 1174514178
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. MICHAEL BOUGOULIAS (M.D.)
719 RODEL CV STE 2001
LAKE MARY, FL 327465716
Phone: (407) 302-3115
Fax: (321) 203-4602
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 150 Open Payments records for all available years, with a total value of $3,153.
Total Amount is formed as General ($3,153) + Research ($0) + Ownership ($0) = $3,153.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($550).
Total Amount
$3,153
General + Research + Ownership
Payments
150
Total payment records
General Amount
$3,153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $550 |
| Exact Sciences Corporation | $398 |
| ABBVIE INC. | $297 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $201 |
| Phathom Pharmaceuticals, Inc. | $155 |
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: 2007-11-19
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 |
|---|---|---|---|---|
| I20071119000107 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 377 | 232 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 266 | 266 | $0 |
| G0008 | Administration of influenza virus vaccine | 76 | 76 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 66 | 66 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | 25 | $0 |
Insurance plans in this area (ZIP 32746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | NC | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | MA |
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