CHARLES BOUCHARD (MD) – Cornea and External Diseases Specialist Physician, NPI 1902872393

CHARLES BOUCHARD (MD) is a healthcare provider. based in Maywood, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 36080233 (IL). The NPI Number for CHARLES BOUCHARD (MD) is 1902872393

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES BOUCHARD (MD)
NPI
1902872393
Phone
(630) 627-7399
Address
2160 S FIRST AVE
Enumeration Date
24 February 2006
Last Update Date
18 October 2021

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7082169000
Graduation Year
1985 (41 years ago)
PAC ID
8426086927
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050727000036
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
CBOUCHARD796@DIRECT.LUHS.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

958 OPHTHALMOLOGY in IL

Provider Addresses for CHARLES BOUCHARD (MD)

  • 2160 S FIRST AVE

    (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)

    MAYWOOD, IL 60153

    Phone: (630) 627-7399

    Fax: (630) 627-7079

    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 2 Open Payments records for all available years, with a total value of $1,186.

Total Amount is formed as General ($1,186) + Research ($0) + Ownership ($0) = $1,186.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,000).

Total Amount

$1,186

General + Research + Ownership

Payments

2

Total payment records

General Amount

$1,186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-07-27

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
I20050727000036IOphthalmologyILTBD

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
92012Established patient problem focused exam of visual system333167$0
92014Established patient complete exam of visual system127126$0
66984Removal of cataract with insertion of prosthetic lens6137$0
92004New patient complete exam of visual system6060$0
92136Measurement of corneal curvature and depth of eye4242$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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Provider's Procedures

CHARLES BOUCHARD (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92012Eye and medical examination for diagnosis and treatment, established patient218133
OPHTHALMOLOGYIL92134Diagnostic imaging of retina1514

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: 3779488903View full group profile

Reviews

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Frequently asked questions

How is CHARLES BOUCHARD (MD) identified in CMS data?
CMS-hosted NPPES data lists CHARLES BOUCHARD (MD) with NPI 1902872393.
Does CMS list CHARLES BOUCHARD (MD) as active?
Yes — CHARLES BOUCHARD (MD) is active in the NPI listing used on this page.
What is CHARLES BOUCHARD (MD) best known for clinically?
Directory data describes CHARLES BOUCHARD (MD) with Cornea and External Diseases Specialist Physician. Clinical services aligned with this taxonomy classification.
Where is CHARLES BOUCHARD (MD) based?
CHARLES BOUCHARD (MD) is tied to Maywood, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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