Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAXIMINA BOUTSELIS M.D.
NPI 1013946094
Radiology - Diagnostic Radiology in West Newbury, MA

Q: What is Maximina Boutselis's NPI number?

The NPI number for Maximina Boutselis is 1013946094. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Maximina Boutselis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since July 01, 2006PECOS Enrolled

20 FOLLINSBEE LN, WEST NEWBURY, MA 01985(978) 761-4606 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Dec 3, 2025, Nov 19, 2025 and 5 more (8 updates tracked since 2017).

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About Maximina Boutselis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIMINA BOUTSELIS M.D. (NPI 1013946094) is an individual diagnostic radiology provider in West Newbury, Massachusetts, licensed in Florida (ME110153) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1013946094

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameMAXIMINA BOUTSELISCredential: M.D.

Location Address20 FOLLINSBEE LNWest Newbury, MA 01985-4201

Mailing Address216 Northern BlvdNewburyport, MA 01950-4409 · (978) 761-4606

Phone(978) 761-4606

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1995

Enumeration DateJuly 1, 2006

Last NPPES UpdateJuly 28, 20268 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1013946094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in FL · ME110153✔ Licensed in NY · 260855✔ Licensed in MA · 156198✔ Licensed in IL · 036139315✔ Licensed in PA · MD443290✔ Licensed in MO · 2011014305

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 156198 (MA)

20 FOLLINSBEE LN, West Newbury, MA 01985

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Secondary Practice Locations 7

Location 1457 Lake Cook RdDeerfield, IL 60015-5202 · Phone (847) 291-9321 · Fax (847) 291-9362

Location 21014 Oswegatchie Trail RdStar Lake, NY 13690-3143 · Phone (315) 848-3351

Location 31800 E Park AveState College, PA 16803-6701 · Phone (814) 231-7000 ext. 6764 · Fax (814) 231-7098

Location 43330 W 177th St Ste 1DHazel Crest, IL 60429-2185 · Phone (708) 799-4940 · Fax (708) 799-0641

Location 56000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 248-5300 · Fax (573) 248-5302

Location 61700 Old Gatesburg Rd Ste 100State College, PA 16803-2276 · Phone (814) 278-3280 · Fax (814) 231-7098

Location 71250 S Cedar Crest BlvdAllentown, PA 18103-6224 · Phone (610) 402-8900

Other Identifiers 3

Medicaid04916809NY

Medicaid0101290MA

Medicaid30200844NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maximina Boutselis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002002151, 7810183969

PECOS Enrollment IDI20221129000523, I20240209003843, I20240318001185, I20240722001215, I20250331001913, I20101201000413, I20121017000909, I20160308000669

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

240 services232 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

176 services161 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

88 services67 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

82 services81 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

55 services46 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

48 services43 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

45 services45 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

42 services42 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

39 services39 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

32 services28 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

31 services31 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

28 services25 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

26 services21 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

25 services25 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

23 services21 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

22 services22 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

21 services21 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

19 services17 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

18 services18 patients

X-ray of chest, 1 view 71045

17 services17 patients

X-ray of sacrum and tailbone, minimum of 2 views 72220

An X-ray of the sacrum and tailbone involves capturing images of these lower spine areas from at least two different angles. This non-invasive procedure helps detect abnormalities or injuries, providing valuable information for accurate diagnosis and treatment.

17 services17 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

17 services17 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

14 services14 patients

X-ray of upper arm, minimum of 2 views 73060

An X-ray of the upper arm with a minimum of 2 views involves capturing images of your arm from different angles. This helps in assessing the bones and surrounding tissues for any abnormalities or injuries. It's a quick, painless procedure.

14 services13 patients

Ct scan of chest without contrast 71250

13 services13 patients

X-ray of forearm, 2 views 73090

An X-ray of the forearm, 2 views, is a diagnostic procedure where two different pictures of your forearm are taken using a small amount of radiation. These images help doctors assess your bone health and identify any fractures, infections, or other abnormalities.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN

OwnershipGovernment - Local

CMS Certification Number151327

Location2200 N Section StSullivan, IN 47882 · Sullivan County

Emergency services Birthing friendly

Washington Hospital, The

Acute Care Hospitals · Washington, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390042

Location155 Wilson AvenueWashington, PA 15301 · Washington County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01985 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

61%38 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maximina Boutselis's NPI number?

The NPI number for Maximina Boutselis is 1013946094. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Maximina Boutselis located?

Maximina Boutselis practices at 20 Follinsbee Ln, West Newbury, MA 01985. The listed phone number is (978) 761-4606.

What is Maximina Boutselis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Maximina Boutselis enrolled in Medicare?

Yes. Maximina Boutselis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maximina Boutselis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Molina Healthcare and 1 other insurer list Maximina Boutselis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maximina Boutselis affiliated with any hospitals?

According to CMS data, Maximina Boutselis is affiliated with Sullivan County Community Hospital, Washington Hospital, The and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Maximina Boutselis was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.