CRAIG S BOUDREAUX (DO) – Family Medicine Physician, NPI 1497785117

CRAIG S BOUDREAUX (DO) is a healthcare provider. based in The woodlands, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. K4639 (TX). The NPI Number for CRAIG S BOUDREAUX (DO) is 1497785117

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG S BOUDREAUX (DO)
NPI
1497785117
Phone
(281) 292-1192
Address
4775 W PANTHER CREEK DR
Enumeration Date
5 July 2006
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9365253600
Graduation Year
1996 (30 years ago)
PAC ID
3678521291
Group Practice PAC ID
8123451135
Professional Enrollment ID
I20050110000956
Address ID
TX773043185CO1169XPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for CRAIG S BOUDREAUX (DO)

  • The Woodlands Children's Museum, 4775, West Panther Creek Drive, The Woodlands, Montgomery County, Texas, 77381, United States

    #345

    THE WOODLANDS, TX 773813579

    Phone: (281) 292-1192

    Fax: (281) 367-0396

    Type: Mailing

  • 690 S LOOP 336 W STE 200

    CONROE, TX 773043320

    Phone: (936) 525-3600

    Fax: (936) 525-3624

    Type: Mailing

  • 1169 GRAND CENTRAL PKWY

    CONROE, TX 773043185

    Phone: (936) 525-3600

    Fax: (936) 525-3624

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Medtronic, Inc. ($71).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-01-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050110000956IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8246$0
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1818$0
G0008Administration of influenza virus vaccine1818$0
View full utilization report →

Insurance plans in this area (ZIP 77381)

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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: 8123451135View full group profile
NameSpecialtyState
Internal MedicineTX
Osteopathic Manipulative MedicineCT
Internal Medicine, Pediatric MedicineTX
Internal Medicine, Pediatric MedicineTX
-TX
Emergency Medicine, Family Practice, Osteopathic Manipulative MedicineTX
Internal Medicine, Pediatric MedicineTX
-NC
Family PracticeID
Family PracticeMI

Reviews

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Frequently asked questions

Can I verify CRAIG S BOUDREAUX (DO) with an NPI only?
You can start verification with NPI 1497785117 for CRAIG S BOUDREAUX (DO), then check state licensing separately.
Is CRAIG S BOUDREAUX (DO) listed as active for patients and plans?
The listing shows CRAIG S BOUDREAUX (DO) as active in the NPI system.
What taxonomy line describes CRAIG S BOUDREAUX (DO)?
For research purposes, treat CRAIG S BOUDREAUX (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does CRAIG S BOUDREAUX (DO) serve?
CRAIG S BOUDREAUX (DO)'s listing highlights The Woodlands, Texas; more addresses can appear in NPPES.
Is the information about CRAIG S BOUDREAUX (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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