PAUL D. BOUTIN (MD) – Child & Adolescent Psychiatry Physician, NPI 1689787673

PAUL D. BOUTIN (MD) is a healthcare provider. based in Springfield, Vermont. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 042.0011364 (VT). The NPI Number for PAUL D. BOUTIN (MD) is 1689787673

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
PAUL D. BOUTIN (MD)
NPI
1689787673
Phone
(802) 886-4500
Address
390 RIVER STREET
Enumeration Date
16 August 2006
Last Update Date
27 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
8028864500
Graduation Year
2002 (24 years ago)
PAC ID
1951494467
Group Practice PAC ID
4183698830
Professional Enrollment ID
I20070829000493
Address ID
VT051562226SP390XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

155 PSYCHIATRY in VT

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Provider Addresses for PAUL D. BOUTIN (MD)

  • Health Care & Rehabilitation Services (HCRS), 390, River Street, Springfield, Windsor County, Vermont, 05156, United States

    SPRINGFIELD, VT 051562226

    Phone: (802) 886-4500

    Fax: (802) 886-4520

    Type: Mailing

  • 51, Fairview Street, Fairview Village, Brattleboro, Windham County, Vermont, 05301, United States

    BRATTLEBORO, VT 053016629

    Phone: (802) 254-6028

    Fax: (802) 254-7501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-08-29

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
I20070829000493IPsychiatryVTTBD

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
90839Psychotherapy for crisis, first hour2524$0
View full utilization report →

Insurance plans in this area (ZIP 05156)

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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: 4183698830View full group profile
NameSpecialtyState
Physician AssistantVT
P S Y C H I A T R YCO
Mental Health CounselorVT
P S Y C H I A T R YVT
Clinical PsychologistVT
Mental Health CounselorVT
Mental Health CounselorVT
Clinical Social WorkerNY
P S Y C H I A T R YCA
-VT

Reviews

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Frequently asked questions

Is PAUL D. BOUTIN (MD) listed with a National Provider Identifier?
Yes — PAUL D. BOUTIN (MD) has NPI 1689787673 on file in the registry.
Would PAUL D. BOUTIN (MD) appear as active to a payer?
You can treat PAUL D. BOUTIN (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with PAUL D. BOUTIN (MD)?
PAUL D. BOUTIN (MD)'s record emphasizes Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is PAUL D. BOUTIN (MD) located near Springfield?
PAUL D. BOUTIN (MD) currently maps to Springfield, Vermont in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.