DR. LAUREN ELIZABETH BOUDREAUX (DO) – Dermatology Physician, NPI 1003235706

DR. LAUREN ELIZABETH BOUDREAUX (DO) is a healthcare provider. based in Corvallis, Oregon. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. OP60565798 (WA). The NPI Number for DR. LAUREN ELIZABETH BOUDREAUX (DO) is 1003235706

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAUREN ELIZABETH BOUDREAUX (DO)
NPI
1003235706
Phone
(541) 768-4906
Address
3600 NW SAMARITAN DR
Enumeration Date
9 April 2014
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8665993376
Graduation Year
2014 (12 years ago)
PAC ID
4183927437
Group Practice PAC ID
5890863492
Professional Enrollment ID
I20180731001751
Address ID
WA986863031VA2415XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

232 DERMATOLOGY in OR

Provider Addresses for DR. LAUREN ELIZABETH BOUDREAUX (DO)

  • 3600 NW SAMARITAN DR

    CORVALLIS, OR 973303737

    Phone: (541) 768-4906

    Type: Mailing

  • 1793 13th St SE

    Salem, OR 973022541

    Phone: (503) 362-8385

    Fax: (503) 362-8435

    Type: Location

  • 1793 13TH ST SE

    SALEM, OR 973022541

    Phone: (033) 628-3855

    Fax: (503) 362-8435

    Type: Mailing

  • 2415 NE 134TH ST STE 107

    VANCOUVER, WA 986863031

    Phone: (360) 576-3340

    Fax: (503) 362-8435

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 225 Open Payments records for all available years, with a total value of $3,744.

Total Amount is formed as General ($3,744) + Research ($0) + Ownership ($0) = $3,744.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($977).

Total Amount

$3,744

General + Research + Ownership

Payments

225

Total payment records

General Amount

$3,744

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-31

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180731001440IDermatologyORTBD
I20180731001751IDermatologyWATBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg9,20029$0
17003Destruction of precancer skin growth, 2-14 growths995175$0
99213Established patient office or other outpatient visit, 20-29 minutes567418$0
17000Destruction of precancer skin growth, 1 growth316259$0
17110Destruction of skin growth, 1-14 growths308255$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

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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: 5890863492View full group profile

Reviews

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Frequently asked questions

How is DR. LAUREN ELIZABETH BOUDREAUX (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. LAUREN ELIZABETH BOUDREAUX (DO) with NPI 1003235706.
Does the file indicate DR. LAUREN ELIZABETH BOUDREAUX (DO) is practicing under active NPI?
Directory data currently reports DR. LAUREN ELIZABETH BOUDREAUX (DO) as active.
What is DR. LAUREN ELIZABETH BOUDREAUX (DO)'s specialty?
The listing groups DR. LAUREN ELIZABETH BOUDREAUX (DO) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LAUREN ELIZABETH BOUDREAUX (DO) on a map?
Expect Corvallis, Oregon as a primary anchor for DR. LAUREN ELIZABETH BOUDREAUX (DO) unless the record lists multiple sites.
Why does DR. LAUREN ELIZABETH BOUDREAUX (DO) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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