DR. PHILIP C BOULANGER (MD) – Internal Medicine Physician, NPI 1083685366
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
130 GENERAL PRACTICE in VA
Provider Addresses for DR. PHILIP C BOULANGER (MD)
1891 Virginia Ave
Harrisonburg, VA 228028374
Phone: (804) 389-2606
Type: Location
5236 Timber Hollow Pl
Glen Allen, VA 230602846
Phone: (804) 389-2606
Type: Location
Sleep Inn & Suites Harrisonburg Near University, 1891, Evelyn Byrd Avenue, Harrisonburg, Virginia, 22801, United States
HARRISONBURG, VA 228028374
Phone: (804) 389-2606
Type: Mailing
5911 W BROAD ST
RICHMOND, VA 232302219
Phone: (804) 213-0259
Type: Location
5236, Timber Hollow Place, Glen Allen, Henrico County, Virginia, 23060, United States
GLEN ALLEN, VA 230602846
Phone: (804) 389-2606
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $2,031.
Total Amount is formed as General ($2,031) + Research ($0) + Ownership ($0) = $2,031.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($532).
Total Amount
$2,031
General + Research + Ownership
Payments
100
Total payment records
General Amount
$2,031
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 |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $532 |
| Otsuka America Pharmaceutical, Inc. | $444 |
| Lundbeck LLC | $327 |
| ABBVIE INC. | $251 |
| ITI, Inc. | $143 |
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: 2005-10-13
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 |
|---|---|---|---|---|
| I20051013000716 | I | General Practice | 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 |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 58 | 11 | $0 |
Insurance plans in this area (ZIP 22802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | VA | |
| P S Y C H I A T R Y | VA | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | VA | |
| Mental Health Counselor | VA |
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