DR. VAL RUSSELL BOUDREAU JR. D.D.S.
NPI 1033209028
Dentist - Oral and Maxillofacial Surgery in Cincinnati, OH

Active since October 13, 2006Opted out of Medicare · through Dec 15, 2027
11323 SPRINGFIELD PIKE, CINCINNATI, OH 45246(513) 771-4080(513) 326-2022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Val Russell Boudreau Jr. D.d.s. NPPES

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

DR. VAL RUSSELL BOUDREAU JR. D.D.S. (NPI 1033209028) is an individual oral and maxillofacial surgery provider in Cincinnati, Ohio, licensed in Ohio (20636) and active in the NPI registry since October 2006. He has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1033209028
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. VAL RUSSELL BOUDREAU JR.Credential: D.D.S.
Location Address11323 SPRINGFIELD PIKECincinnati, OH 45246-4201
Mailing Address11323 Springfield PikeCincinnati, OH 45246-4201 · (513) 771-4080 · Fax (513) 326-2022
Fax(513) 326-2022
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1033209028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in OH · 20636
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
11323 SPRINGFIELD PIKE, Cincinnati, OH 45246

Other Identifiers 3

Medicare ID-Type UnspecifiedBO4090841OH
Medicare UPINU91631OH
Other000000381324OH · Anthem Medical

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Val Russell Boudreau Jr. D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2015 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2015
Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45246 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
11323 SPRINGFIELD PIKE
CINCINNATI, OH 45246

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 Val Boudreau's NPI number?

The NPI number for Val Boudreau is 1033209028. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Val Boudreau located?

Val Boudreau practices at 11323 Springfield Pike, Cincinnati, OH 45246. The listed phone number is (513) 771-4080.

What is Val Boudreau's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Val Boudreau enrolled in Medicare?

No. Val Boudreau has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Val Boudreau accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 7 other insurers list Val Boudreau 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.

When was this NPI record last updated?

The NPPES record for Val Boudreau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.