DR. JOHN BOULOS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1790029072
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,074 PODIATRY in NJ
Provider Addresses for DR. JOHN BOULOS (DPM)
579 CRANBURY RD
SUITE G
EAST BRUNSWICK, NJ 088165405
Phone: (732) 979-2035
Fax: (732) 254-3145
Type: Mailing
610 CRANBURY RD STE B
EAST BRUNSWICK, NJ 088164030
Phone: (732) 979-2035
Fax: (732) 955-6217
Type: Mailing
103 Highway 36
Union Beach, NJ 077351424
Phone: (732) 979-2035
Fax: (732) 955-6217
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $2,573.
Total Amount is formed as General ($2,573) + Research ($0) + Ownership ($0) = $2,573.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ConvaTec Inc. ($2,090).
Total Amount
$2,573
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,573
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 |
|---|---|
| ConvaTec Inc. | $2,090 |
| Stryker Corporation | $352 |
| Paratek Pharmaceuticals, Inc. | $31 |
| Amgen Inc. | $25 |
| Averitas Pharma 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: 2013-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (348 days ago).
Enrollment records
2
Earliest due date
2025-06-30
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 |
|---|---|---|---|---|
| I20130430000241 | I | Podiatry | NJ | TBD |
| O20130204000037 | O | Physician - Podiatry | NJ | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 509 | 154 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 311 | 100 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 186 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 173 | 98 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 142 | 101 | $0 |
Insurance plans in this area (ZIP 08816)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | NJ | 11056 | Removal of 2 to 4 thickened skin growths | 260 | 106 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NJ | |
| P O D I A T R Y | NJ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.