JOHN PAUL BOUFFARD (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1306801931

JOHN PAUL BOUFFARD (M.D.) is a healthcare provider. based in Summit, New Jersey. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA08115900 (NJ). The NPI Number for JOHN PAUL BOUFFARD (M.D.) is 1306801931

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PAUL BOUFFARD (M.D.)
NPI
1306801931
Phone
(908) 522-2147
Address
99 Beauvoir Ave
Enumeration Date
18 April 2006
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
9733832121
Graduation Year
1990 (36 years ago)
PAC ID
2365406022
Group Practice PAC ID
4981699717
Professional Enrollment ID
I20070405000026
Address ID
NJ078601004NE175XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

355 PATHOLOGY in NJ

Provider Addresses for JOHN PAUL BOUFFARD (M.D.)

  • 99 Beauvoir Ave

    Overlook Hospital, Pathology Department, 3rd Floor

    Summit, NJ 079013533

    Phone: (908) 522-2147

    Type: Location

  • 1 DIAMOND HILL RD

    BERKELEY HEIGHTS, NJ 079222104

    Phone:

    Type: Mailing

  • 1 DIAMOND HILL RD FL G

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 277-8699

    Fax: (908) 673-7388

    Type: Location

  • Overlook Medical Center, 99, Beauvoir Avenue, Overlook, Summit, Union County, New Jersey, 07901, United States

    OVERLOOK HOSPITAL, PATHOLOGY DEPARTMENT, 3RD FLOOR

    SUMMIT, NJ 079013533

    Phone: (908) 522-2147

    Type: Location

  • 36, Ridge Road, Green Brook Township, Somerset County, New Jersey, 08812, United States

    GREEN BROOK, NJ 088121830

    Phone: (732) 469-3669

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-04-05

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
I20070405000026IPathologyNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88341Special stained specimen slides to examine tissue, each additional procedure535125$0
88305Pathology examination of tissue using a microscope, intermediate complexity510234$0
88307Pathology examination of tissue using a microscope, moderately high complexity285159$0
88342Special stained specimen slides to examine tissue, initial procedure167137$0
88304Pathology examination of tissue using a microscope, moderately low complexity10793$0
View full utilization report →

Insurance plans in this area (ZIP 07901)

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Provider's Procedures

JOHN PAUL BOUFFARD (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYNJ88304Pathology examination of tissue using a microscope, moderately low complexity11193
PATHOLOGYNJ88312Special stained specimen slides to identify organisms including interpretation and report10685
PATHOLOGYNJ88342Tissue or cell analysis by immunologic technique141132

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: 4981699717View full group profile
NameSpecialtyState
P A T H O L O G YNY
P A T H O L O G YNJ
Pathology, HematologyNJ
P A T H O L O G YNY
P A T H O L O G YNJ
P A T H O L O G YNJ
P A T H O L O G YNJ
-NJ
-NJ
-NJ

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Frequently asked questions

What unique ID ties claims to JOHN PAUL BOUFFARD (M.D.)?
NPI 1306801931 is assigned to JOHN PAUL BOUFFARD (M.D.) under the national enumeration system.
Is JOHN PAUL BOUFFARD (M.D.) currently active in the NPI registry?
CMS-published data lists JOHN PAUL BOUFFARD (M.D.) as an active registrant.
What field does JOHN PAUL BOUFFARD (M.D.) work in?
You can think of JOHN PAUL BOUFFARD (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN PAUL BOUFFARD (M.D.)?
The page summarizes Summit, New Jersey for JOHN PAUL BOUFFARD (M.D.); expand the address list for detail.
What if Summit, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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