BRIAN ROBERT BOULAY (MD) – Gastroenterology Physician, NPI 1023103439
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
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Provider Addresses for BRIAN ROBERT BOULAY (MD)
3920, North Sheridan Road, Wrigleyville, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
APT 504
CHICAGO, IL 606135493
Phone: (802) 356-7432
Type: Mailing
University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
UIC MEDICAL CENTER, SECTION OF DIGESTIVE DISEASES
CHICAGO, IL 606120199
Phone: (312) 355-4270
Fax: (312) 996-5103
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $730.
Total Amount is formed as General ($730) + Research ($0) + Ownership ($0) = $730.
Last reported payment date: 2024-05-18 • Largest payer in this snapshot: STERIS CORPORATION ($285).
Total Amount
$730
General + Research + Ownership
Payments
9
Total payment records
General Amount
$730
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| STERIS CORPORATION | $285 |
| CONMED Corporation | $200 |
| Medtronic, Inc. | $138 |
| Olympus America Inc. | $75 |
| Cook Medical LLC | $32 |
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: 2010-12-14
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 |
|---|---|---|---|---|
| I20101214000719 | I | Gastroenterology | IL | 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 | 48 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 32 | $0 |
| 43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 23 | 21 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 22 | 22 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 22 | 22 | $0 |
Insurance plans in this area (ZIP 60613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IN | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| Hand Surgery, Orthopedic Surgery | IL | |
| Pathology, Internal Medicine | IL | |
| - | IL |
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