T. GLEN BOUDER (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1043203318
Critical Care Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
566 CRITICAL CARE (INTENSIVISTS) in VA
Provider Addresses for T. GLEN BOUDER (MD)
190 Campus Blvd Ste 201
Winchester, VA 226012872
Phone: (540) 536-5980
Fax: (540) 536-5979
Type: Location
220 CAMPUS BLVD STE 100
WINCHESTER, VA 226012896
Phone: (540) 536-5100
Fax: (540) 536-0235
Type: Mailing
ValleyHealth Winchester Medical Center, 1840, Amherst Street, Winchester, Winchester City, Virginia, 22601, United States
WINCHESTER, VA 226012808
Phone: (540) 536-8874
Fax: (540) 536-7847
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $42,868.
Total Amount is formed as General ($42,868) + Research ($0) + Ownership ($0) = $42,868.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($42,659).
Total Amount
$42,868
General + Research + Ownership
Payments
32
Total payment records
General Amount
$42,868
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $42,659 |
| Galvanize Therapeutics, Inc | $126 |
| Pulmonx Corporation | $52 |
| United Therapeutics Corporation | $31 |
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: 2009-09-30
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 |
|---|---|---|---|---|
| I20090930000609 | I | Critical Care (Intensivists) | VA | 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 |
|---|---|---|---|---|
| 31629 | Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope | 41 | 41 | $0 |
| 31623 | Exam of lung airways using an endoscope | 36 | 36 | $0 |
| 31627 | Computer-assisted image-guided navigation of lung airways using an endoscope | 32 | 32 | $0 |
| 99291 | Critical care, first 30-74 minutes | 29 | 27 | $0 |
| 31652 | Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 22601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CRITICAL CARE (INTENSIVISTS) | VA | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 14 | 14 |
| CRITICAL CARE (INTENSIVISTS) | VA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Marriage And Family Therapist | NY | |
| Clinical Psychologist | VA | |
| Physical Medicine And Rehabilitation | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| - | VA | |
| - | VA | |
| U R O L O G Y | VA | |
| Nurse Practitioner | MD |
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