DR. WILLIAM T BOULWARE (MD) – Internal Medicine Physician, NPI 1023190493
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,202 INTERNAL MEDICINE in MO
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Provider Addresses for DR. WILLIAM T BOULWARE (MD)
1131, West Kansas Street, Liberty, Clay County, Missouri, 64068, United States
LIBERTY, MO 640682281
Phone: (816) 792-5577
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 120 Open Payments records for all available years, with a total value of $2,037.
Total Amount is formed as General ($2,037) + Research ($0) + Ownership ($0) = $2,037.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($340).
Total Amount
$2,037
General + Research + Ownership
Payments
120
Total payment records
General Amount
$2,037
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $340 |
| Novo Nordisk Inc | $205 |
| Lilly USA, LLC | $198 |
| Otsuka America Pharmaceutical, Inc. | $167 |
| Amgen Inc. | $96 |
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: 2004-04-15
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040415001305 | I | Internal Medicine | MO | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,082 | 106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 807 | 214 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 661 | 232 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 329 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 250 | 127 | $0 |
Insurance plans in this area (ZIP 64068)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 17003 | Destruction of 2-14 skin growths | 218 | 35 |
| INTERNAL MEDICINE | MO | 20610 | Aspiration and/or injection of large joint or joint capsule | 257 | 62 |
| INTERNAL MEDICINE | MO | 51798 | Ultrasound measurement of bladder capacity after voiding | 33 | 25 |
| INTERNAL MEDICINE | MO | 81002 | Urinalysis, manual test | 225 | 112 |
| INTERNAL MEDICINE | MO | 85610 | Blood test, clotting time | 227 | 22 |
| INTERNAL MEDICINE | MO | 92567 | Eardrum testing using ear probe | 25 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Internal Medicine | MO | |
| - | MO |
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