DR. BO POULSON (MD) – Emergency Medicine Physician, NPI 1184660615

DR. BO POULSON (MD) is a healthcare provider. based in Richmond, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 0101239075 (VA). The NPI Number for DR. BO POULSON (MD) is 1184660615

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. BO POULSON (MD)
NPI
1184660615
Phone
(804) 270-3072
Address
8717 GREENFORD DR
Enumeration Date
22 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013504111
Graduation Year
2003 (23 years ago)
PAC ID
2961408216
Group Practice PAC ID
4284548116
Professional Enrollment ID
I20070207000621
Address ID
UT841021507SA1050XTEMP400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

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Provider Addresses for DR. BO POULSON (MD)

  • 8717 GREENFORD DR

    RICHMOND, VA 232946130

    Phone: (804) 270-3072

    Type: Mailing

  • Southern Virginia Regional Medical Center, 727, North Main Street, North Emporia, Emporia, Virginia, 23847, United States

    EMPORIA, VA 238471274

    Phone: (434) 348-4500

    Fax: (434) 348-4506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

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: 2007-02-07

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
I20070207000621IEmergency MedicineUTTBD

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
99285Emergency department visit with high level of medical decision making112111$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6360$0
99284Emergency department visit with moderate level of medical decision making5554$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 23294)

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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: 4284548116View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineUT
Emergency MedicineUT
Emergency MedicineNV
Emergency MedicineCA
Emergency MedicineGA
Emergency MedicineTX
-UT
Emergency MedicineUT
Emergency MedicineUT

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BO POULSON (MD)?
NPI 1184660615 is assigned to DR. BO POULSON (MD) under the national enumeration system.
Is DR. BO POULSON (MD) currently active in the NPI registry?
CMS-published data lists DR. BO POULSON (MD) as an active registrant.
Does DR. BO POULSON (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. BO POULSON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. BO POULSON (MD)?
The snapshot lists Richmond, Virginia for DR. BO POULSON (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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