MISS LAURA MICHELLE BOUCHER (PA-C) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1770085243
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MISS LAURA MICHELLE BOUCHER (PA-C)
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone:
Type: Mailing
6475 S YALE AVE STE 308
TULSA, OK 741367802
Phone: (918) 499-4000
Fax: (918) 499-4001
Type: Location
1436 GILPIN STREET APT 7
DENVER, CO 80218
Phone:
Type: Mailing
Manhattan Circle, Boulder, Boulder County, Colorado, 80305-9998, United States
BOULDER, CO 80303
Phone: (303) 494-7773
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Globus Medical, Inc. ($215).
Total Amount
$604
General + Research + Ownership
Payments
19
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $215 |
| Averitas Pharma Inc. | $74 |
| Nico Corporation | $67 |
| Medtronic, Inc. | $62 |
| Saluda Medical Americas, Inc. | $36 |
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: 2023-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190826001745 | I | Physician Assistant | CO | TBD |
| I20231219000725 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 51 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 21 | $0 |
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Internal Medicine | SC | |
| Orthopedic Surgery | MO | |
| - | CA | |
| Physical Therapist In Private Practice | MD | |
| Physician Assistant | NC | |
| Internal Medicine | TN | |
| Nurse Practitioner | AR | |
| - | CO |
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