JOSE ANTONIO BOUFFARD (M.D.) – Nuclear Imaging & Therapy Physician, NPI 1043388788
Nuclear Imaging & Therapy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for JOSE ANTONIO BOUFFARD (M.D.)
Rehabilitation Institute of Michigan, 261, Mack Avenue, Midtown, Detroit, Wayne County, Michigan, 48201, United States
ROOM 215
DETROIT, MI 482012417
Phone: (313) 966-2539
Fax: (313) 993-2630
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 9 Open Payments records for all available years, with a total value of $30,126.
Total Amount is formed as General ($30,126) + Research ($0) + Ownership ($0) = $30,126.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: GE HealthCare ($19,323).
Total Amount
$30,126
General + Research + Ownership
Payments
9
Total payment records
General Amount
$30,126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HealthCare | $19,323 |
| GE HEALTHCARE | $10,803 |
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: 2004-11-12
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 |
|---|---|---|---|---|
| I20041112000049 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| 73700 | Ct scan of leg without contrast | 34 | 31 | $0 |
| 73721 | Mri scan of leg joint without contrast | 30 | 27 | $0 |
| 76881 | Complete ultrasound scan of joint | 24 | 22 | $0 |
| 71045 | X-ray of chest, 1 view | 19 | 16 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 17 | 12 | $0 |
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MD | |
| Geriatric Medicine, Diagnostic Radiology | MO | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MI |
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