NOAH BOUTIN (OD) – Optometrist, NPI 1366013740
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
219 OPTOMETRY in ME
Provider Addresses for NOAH BOUTIN (OD)
65 Portland Rd
Kennebunk, ME 040436742
Phone: (207) 985-7353
Fax: (207) 985-6640
Type: Location
40 Sokokis Trl
East Waterboro, ME 040305435
Phone: (207) 247-3005
Fax: (207) 247-3035
Type: Location
272 COTTAGE ST
SANFORD, ME 040731815
Phone: (207) 324-8888
Fax: (207) 490-1716
Type: Mailing
10 HILL CREEK DR
KITTERY, ME 039045417
Phone: (207) 838-3757
Type: Mailing
35 STATE HOSPITAL DR
BANGOR, ME 044018816
Phone: (207) 623-8411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $417.
Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($167).
Total Amount
$417
General + Research + Ownership
Payments
21
Total payment records
General Amount
$417
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $167 |
| CooperVision Inc. | $108 |
| Bausch & Lomb Americas Inc. | $62 |
| Tarsus Pharmaceuticals, Inc. | $45 |
| Alcon Vision LLC | $20 |
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: 2022-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220627000607 | I | Optometry | ME | 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 | 163 | 125 | $0 |
| 92004 | New patient complete exam of visual system | 143 | 143 | $0 |
| 92014 | Established patient complete exam of visual system | 125 | 125 | $0 |
| 92083 | Exam of visual field with extended testing | 43 | 38 | $0 |
| 92134 | Imaging of retina | 29 | 28 | $0 |
Insurance plans in this area (ZIP 04043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME | |
| - | ME | |
| O P T O M E T R Y | ME | |
| O P T O M E T R Y | ME |
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