MATTHEW BOUDREAU AYRES (MD) – Urology Physician, NPI 1649896317
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
Provider Addresses for MATTHEW BOUDREAU AYRES (MD)
1105 SIXTH ST
TRAVERSE CITY, MI 496842345
Phone:
Type: Mailing
829 N CENTER AVE STE 260
GAYLORD, MI 497351597
Phone: (989) 731-6405
Fax: (989) 731-6415
Type: Location
920 Stanton L Young Blvd # Wp3150
Oklahoma City, OK 731045036
Phone: (405) 271-6900
Type: Location
309 W North St
Gaylord, MI 497351524
Phone: (231) 876-7411
Type: Location
920 STANTON L YOUNG BLVD # WP3150
OKLAHOMA CITY, OK 731045036
Phone: (405) 271-6900
Type: Mailing
14695 Park Ave
Charlevoix, MI 497201920
Phone: (231) 547-2812
Fax: (231) 392-7337
Type: Location
1619 Anderson Rd
Petoskey, MI 497709256
Phone: (231) 417-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Boston Scientific Corporation ($134).
Total Amount
$159
General + Research + Ownership
Payments
6
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $134 |
| ConvaTec Inc. | $25 |
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: 2025-07-15
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 |
|---|---|---|---|---|
| I20250715003918 | I | Urology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Diagnostic Radiology | MI | |
| Family Practice | MI | |
| U R O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Family Practice | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Family Practice | MI |
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