MARK P. BOUCHARD (MD) – Family Medicine Physician, NPI 1023040656

MARK P. BOUCHARD (MD) is a healthcare provider. based in Scarborough, Maine. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. MD14613 (ME). The NPI Number for MARK P. BOUCHARD (MD) is 1023040656

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARK P. BOUCHARD (MD)
NPI
1023040656
Phone
(207) 396-8600
Address
301C US ROUTE 1
Enumeration Date
6 July 2006
Last Update Date
9 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
2567436264
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20040819001113
Address ID
ME041051209FA5XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

886 FAMILY PRACTICE in ME

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Provider Addresses for MARK P. BOUCHARD (MD)

  • Route 1, Oak Hill, Cumberland County, Maine, 04074, United States

    SCARBOROUGH, ME 040749701

    Phone: (207) 396-8600

    Fax: (207) 396-8632

    Type: Mailing

  • Maine Medical Center Family Practice, 5, Bucknam Road, Falmouth, Cumberland County, Maine, 04105, United States

    SUITE 2C

    FALMOUTH, ME 041051392

    Phone: (207) 781-1500

    Fax: (207) 781-1507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040819001113IFamily PracticeMETBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15043$0
99214Established patient office or other outpatient visit, 30-39 minutes13697$0
99213Established patient office or other outpatient visit, 20-29 minutes7964$0
20610Aspiration and/or injection of fluid from large joint4427$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
View full utilization report →

Insurance plans in this area (ZIP 04074)

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Provider's Procedures

MARK P. BOUCHARD (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEME20610Aspiration and/or injection of large joint or joint capsule4624

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: 7517860588View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MARK P. BOUCHARD (MD)?
NPI 1023040656 is assigned to MARK P. BOUCHARD (MD) under the national enumeration system.
Does this profile mean MARK P. BOUCHARD (MD) is currently active?
Yes — MARK P. BOUCHARD (MD) appears active in the national provider directory.
Can you summarize MARK P. BOUCHARD (MD)'s specialty in plain language?
Clinically, the directory lists MARK P. BOUCHARD (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK P. BOUCHARD (MD)?
The page summarizes Scarborough, Maine for MARK P. BOUCHARD (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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