BRIAN ROBERT BOULAY MD
NPI 1023103439
Internal Medicine - Gastroenterology in Chicago, IL

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
1740 W TAYLOR ST, UIC MEDICAL CENTER, SECTION OF DIGESTIVE DISEASES, CHICAGO, IL 60612(312) 355-4270(312) 996-5103 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Robert Boulay Md NPPES

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

BRIAN ROBERT BOULAY MD (NPI 1023103439) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036.125568) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1023103439
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBRIAN ROBERT BOULAYCredential: MD
Location Address1740 W TAYLOR ST, UIC MEDICAL CENTER, SECTION OF DIGESTIVE DISEASESChicago, IL 60612-0199
Mailing Address3920 N Sheridan Rd, Apt 504Chicago, IL 60613-5493 · (802) 356-7432
Fax(312) 996-5103
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 3, 2010
NPI 1023103439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in IL · 036.125568 Licensed in NH · 13031 Licensed in CA · A107914
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1740 W TAYLOR ST, Chicago, IL 60612

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

Brian Robert Boulay 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 ID4183811359
PECOS Enrollment IDI20101214000719
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 6

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.

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.
58 services39 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.
47 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
23 services22 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
22 services21 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
12 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612

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 Brian Boulay's NPI number?

The NPI number for Brian Boulay is 1023103439. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Brian Boulay located?

Brian Boulay practices at 1740 W Taylor St Uic Medical Center, Section Of Digestive Diseases, Chicago, IL 60612. The listed phone number is (312) 355-4270.

What is Brian Boulay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Boulay enrolled in Medicare?

Yes. Brian Boulay 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 Brian Boulay affiliated with any hospitals?

According to CMS data, Brian Boulay is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Brian Boulay was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.