DR. HOUSSAM BOULOUSSA (MD, MS) – Orthopaedic Surgery Physician, NPI 1023664273
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,620 ORTHOPEDIC SURGERY in PA
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Provider Addresses for DR. HOUSSAM BOULOUSSA (MD, MS)
Forbes Avenue, North Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States
PITTSBURGH, PA 152133410
Phone:
Type: Mailing
UPMC Children's Hospital of Pittsburgh, 4401, Penn Avenue, Bloomfield, Pittsburgh, Allegheny County, Pennsylvania, 15224, United States
FACULTY PAVILION, 4TH FLOOR, ROOM 4135
PITTSBURGH, PA 15224
Phone: (412) 692-6868
Type: Location
7900 Lees Summit Rd
Kansas City, MO 641391236
Phone: (816) 404-7200
Type: Location
4401 Penn Avenue
Faculty Pavilion, 4th Floor, Room 4135
Pittsburgh, PA 15224
Phone: (412) 692-6868
Type: Location
2101 CHARLOTTE ST
KANSAS CITY, MO 641082727
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $8,265.
Total Amount is formed as General ($8,265) + Research ($0) + Ownership ($0) = $8,265.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Spineart USA Inc ($6,251).
Total Amount
$8,265
General + Research + Ownership
Payments
30
Total payment records
General Amount
$8,265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Spineart USA Inc | $6,251 |
| SI-BONE, INC. | $938 |
| DePuy Synthes Sales Inc. | $274 |
| 4WEB, INC. | $263 |
| Stryker Corporation | $185 |
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: 2022-09-23
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 |
|---|---|---|---|---|
| I20220923002172 | I | Orthopedic Surgery | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 11 | $0 |
Insurance plans in this area (ZIP 15213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | DC | |
| D E R M A T O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Internal Medicine | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO | |
| P S Y C H I A T R Y | MO | |
| Orthopedic Surgery | MO | |
| P S Y C H I A T R Y | MO | |
| Orthopedic Surgery | TN |
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