PHILIP JOSEPH BOLDUC (MD) – Family Medicine Physician, NPI 1669460051

PHILIP JOSEPH BOLDUC (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 223110 (MA). The NPI Number for PHILIP JOSEPH BOLDUC (MD) is 1669460051

Main info

Male
26 Years Of Experience
Name
PHILIP JOSEPH BOLDUC (MD)
NPI
1669460051
Phone
(508) 860-7700
Address
26 QUEEN ST
Enumeration Date
10 October 2005
Last Update Date
13 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5088607800
Graduation Year
2000 (26 years ago)
PAC ID
9133018088
Group Practice PAC ID
4789670985
Professional Enrollment ID
I20050321000083
Address ID
MA016102473WO26XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for PHILIP JOSEPH BOLDUC (MD)

  • 26, Queen Street, Piedmont, Worcester, Worcester County, Massachusetts, 01609-2915, United States

    WORCESTER, MA 016102473

    Phone: (508) 860-7700

    Fax: (508) 860-7929

    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 $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ViiV Healthcare Company ($99).

Total Amount

$119

General + Research + Ownership

Payments

2

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2005-03-21

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
I20050321000083IFamily PracticeMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01610)

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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: 4789670985View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Clinical Social WorkerMA
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Is PHILIP JOSEPH BOLDUC (MD) listed with a National Provider Identifier?
Yes — PHILIP JOSEPH BOLDUC (MD) has NPI 1669460051 on file in the registry.
Is PHILIP JOSEPH BOLDUC (MD) shown as active in public data?
Registry records indicate PHILIP JOSEPH BOLDUC (MD) maintains an active NPI.
What clinical focus is listed for PHILIP JOSEPH BOLDUC (MD)?
At a glance, PHILIP JOSEPH BOLDUC (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is PHILIP JOSEPH BOLDUC (MD) registered?
Use Worcester, Massachusetts as the headline location for PHILIP JOSEPH BOLDUC (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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