JAMES ANTHONY BOUDREAU (MD) – Family Medicine Physician, NPI 1215923941
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for JAMES ANTHONY BOUDREAU (MD)
2705 N LEBANON ST STE 305
LEBANON, IN 460528622
Phone:
Type: Mailing
2605 N LEBANON ST
LEBANON, IN 460521476
Phone:
Type: Mailing
2705 N LEBANON ST STE 300
LEBANON, IN 460528622
Phone: (765) 485-8649
Fax: (765) 485-8650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 273 Open Payments records for all available years, with a total value of $4,794.
Total Amount is formed as General ($4,794) + Research ($0) + Ownership ($0) = $4,794.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($929).
Total Amount
$4,794
General + Research + Ownership
Payments
273
Total payment records
General Amount
$4,794
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $929 |
| Lilly USA, LLC | $567 |
| AstraZeneca Pharmaceuticals LP | $164 |
| GlaxoSmithKline, LLC. | $159 |
| Novo Nordisk Inc | $133 |
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: 2011-09-29
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 |
|---|---|---|---|---|
| I20110929000204 | I | Family Practice | IN | 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 | 224 | 139 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 129 | 19 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 116 | 93 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 87 | 87 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 74 | 30 | $0 |
Insurance plans in this area (ZIP 46052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| P O D I A T R Y | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| - | IN | |
| Family Practice | IN | |
| - | IN |
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