CHRISTINE M BOUCHARD (MD) – Surgery Physician, NPI 1154582492

CHRISTINE M BOUCHARD (MD) is a healthcare provider. based in North chesterfield, Virginia. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 0101248013 (VA). The NPI Number for CHRISTINE M BOUCHARD (MD) is 1154582492

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE M BOUCHARD (MD)
NPI
1154582492
Phone
(804) 320-2705
Address
1051 JOHNSTON WILLIS DR STE 200
Enumeration Date
19 June 2008
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8042458430
Graduation Year
2004 (22 years ago)
PAC ID
3375677230
Group Practice PAC ID
3971412818
Professional Enrollment ID
I20100813000304
Address ID
VA231132722MI12725WAYX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

68 COLORECTAL SURGERY (PROCTOLOGY) in VA

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Provider Addresses for CHRISTINE M BOUCHARD (MD)

  • 1051 JOHNSTON WILLIS DR STE 200

    NORTH CHESTERFIELD, VA 232354871

    Phone: (804) 320-2705

    Fax: (833) 222-8612

    Type: Mailing

  • Glen Forest Drive, Ladue, Saint Louis County, Missouri, 63124, United States

    RICHMOND, VA 232263780

    Phone: (804) 673-2024

    Fax: (804) 673-1796

    Type: Mailing

  • Midlothian Turnpike, Bon Air, Chesterfield County, Virginia, 23113-4823, United States

    NORTH CHESTERFIELD, VA 232354766

    Phone: (804) 348-2814

    Fax: (855) 815-0304

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$338

General + Research + Ownership

Payments

12

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2010-08-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100813000304IColorectal Surgery (Proctology)VATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8365$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5050$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4927$0
99212Established patient office or other outpatient visit, 10-19 minutes4338$0
View full utilization report →

Insurance plans in this area (ZIP 23235)

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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: 3971412818View full group profile
NameSpecialtyState
Orthopedic SurgeryNC
Nurse PractitionerVA
U R O L O G YWA
Nurse PractitionerVA
Rheumatology, Internal MedicineVA
Physician AssistantVA
Family PracticeVA
U R O L O G YVA
U R O L O G YVA
G A S T R O E N T E R O L O G YVA

Reviews

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Frequently asked questions

How is CHRISTINE M BOUCHARD (MD) identified in CMS data?
CMS-hosted NPPES data lists CHRISTINE M BOUCHARD (MD) with NPI 1154582492.
Can I rely on CHRISTINE M BOUCHARD (MD) being an active provider?
As of the registry snapshot, CHRISTINE M BOUCHARD (MD) is marked active.
What taxonomy line describes CHRISTINE M BOUCHARD (MD)?
For research purposes, treat CHRISTINE M BOUCHARD (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHRISTINE M BOUCHARD (MD) based?
CHRISTINE M BOUCHARD (MD) is tied to North Chesterfield, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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