DR. ROBERT J BOULWARE (MD) – Internal Medicine Physician, NPI 1801978259
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 INTERNAL MEDICINE in MO
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Provider Addresses for DR. ROBERT J 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 136 Open Payments records for all available years, with a total value of $2,269.
Total Amount is formed as General ($2,269) + Research ($0) + Ownership ($0) = $2,269.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($332).
Total Amount
$2,269
General + Research + Ownership
Payments
136
Total payment records
General Amount
$2,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $332 |
| Otsuka America Pharmaceutical, Inc. | $202 |
| Novo Nordisk Inc | $201 |
| Lilly USA, LLC | $194 |
| Corcept Therapeutics | $130 |
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: 2026-05-27
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 |
|---|---|---|---|---|
| I20040415001199 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 338 | 142 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 256 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 226 | 135 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 108 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 104 | 104 | $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 | 81002 | Urinalysis, manual test | 192 | 125 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| - | MO | |
| - | MO |
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