ALAN JACOB BOUCHER (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1477998052
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
341 SPORTS MEDICINE in OH
Provider Addresses for ALAN JACOB BOUCHER (M.D.)
140 COLEMANS XING
MARYSVILLE, OH 430407080
Phone: (937) 578-7950
Fax: (937) 578-7955
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 8 Open Payments records for all available years, with a total value of $405.
Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Arthrex, Inc. ($278).
Total Amount
$405
General + Research + Ownership
Payments
8
Total payment records
General Amount
$405
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $278 |
| CDC Medical LLC | $96 |
| Zimmer Biomet Holdings, Inc. | $31 |
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: 2017-08-21
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 |
|---|---|---|---|---|
| I20170821001614 | I | Sports Medicine | OH | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 4,656 | 50 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 696 | 91 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 682 | 86 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 207 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 94 | $0 |
Insurance plans in this area (ZIP 43040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | OH | |
| N E U R O L O G Y | OH | |
| Family Practice | OH | |
| Clinical Social Worker | OH | |
| Sports Medicine | OH | |
| N E U R O L O G Y | OH | |
| General Surgery | OH | |
| Nurse Practitioner | OH |
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