HENRY R BOUCHER MD
NPI 1013953728
Orthopaedic Surgery in Baltimore, MD

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
3333 NORTH CALVERT STREET, SUITE 400, BALTIMORE, MD 21218(410) 554-2270(410) 261-2726 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Henry R Boucher Md NPPES

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

HENRY R BOUCHER MD (NPI 1013953728) is an individual orthopaedic surgery provider in Baltimore, Maryland, licensed in Maryland (D0053525) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Union Memorial Hospital, and is a graduate of University Of Massachusetts Medical School (1996).

NPPES Registry Identity

NPI1013953728
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameHENRY R BOUCHERCredential: MD
Location Address3333 NORTH CALVERT STREET, SUITE 400Baltimore, MD 21218
Mailing Address3333 North Calvert Street, Suite 400Baltimore, MD 21218 · (410) 554-2270 · Fax (410) 261-2726
Fax(410) 261-2726
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1996
Enumeration DateJune 21, 2006
Last NPPES UpdateOctober 22, 2008
NPI 1013953728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MD · D0053525
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3333 NORTH CALVERT STREET, Baltimore, MD 21218

Other Identifiers 6

OtherJ848DC · Cfbcbs Dc
Other61401401MD · Bcbs
Other903AMD · Cfbcbs Of Md
Medicare UPINH42380
Medicare PIN112NMD
Other520591685MD · Tin

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

Henry R Boucher Md 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 ID7113093881
PECOS Enrollment IDI20080903000373
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 8

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
74 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services65 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.
59 services53 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
57 services53 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.
43 services41 patients

Hospital Affiliations CMS Care Compare

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

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cane, includes canes of all materials, adjustable or fixed, with tip E0100
DME-Other DME · category DE000N
3 suppliers11 claims11 services$20.41 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers31 claims31 services$39.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3333 NORTH CALVERT STREET, SUITE 400
BALTIMORE, MD 21218
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3333 NORTH CALVERT STREET, JOHNSTON LL08
BALTIMORE, MD 21218
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3333 NORTH CALVERT STREET, SUITE 670
BALTIMORE, MD 21218
Physical Medicine & Rehabilitation
3333 NORTH CALVERT STREET, SUITE 400
BALTIMORE, MD 21218
Social Worker (Clinical)
3333 NORTH CALVERT STREET, SUITE 670
BALTIMORE, MD 21218
Orthopaedic Surgery
3333 NORTH CALVERT STREET, SUITE 400
BALTIMORE, MD 21218

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 Henry Boucher's NPI number?

The NPI number for Henry Boucher is 1013953728. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Henry Boucher located?

Henry Boucher practices at 3333 North Calvert Street Suite 400, Baltimore, MD 21218. The listed phone number is (410) 554-2270.

What is Henry Boucher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Henry Boucher enrolled in Medicare?

Yes. Henry Boucher 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.

Is Henry Boucher affiliated with any hospitals?

According to CMS data, Henry Boucher is affiliated with Medstar Union Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Henry Boucher was last updated on October 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.