T. GLEN BOUDER MD
NPI 1043203318
Internal Medicine - Critical Care Medicine in Winchester, VA
About T. Glen Bouder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
T. GLEN BOUDER MD (NPI 1043203318) is an individual critical care medicine provider in Winchester, Virginia, licensed in Virginia (0101244705) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Winchester.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
T. Glen Bouder 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.
Medicare Billing Reassignments
2Medicare enrollment records show T. Bouder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 386 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 756 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Winchester Medical Center
Acute Care Hospitals · Winchester, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WINCHESTER, VA 22601
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 T. Bouder's NPI number?
The NPI number for T. Bouder is 1043203318. It was assigned to this individual provider in the NPPES registry on August 23, 2005.
Where is T. Bouder located?
T. Bouder practices at 1840 Amherst St, Winchester, VA 22601. The listed phone number is (540) 536-8874.
What is T. Bouder's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is T. Bouder enrolled in Medicare?
Yes. T. Bouder 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.
Which organizations bill Medicare for T. Bouder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), T. Bouder reassigns Medicare benefits to 2 organizations: Valley Physician Enterprise, Inc. (Winchester, VA) and Winchester Medical Center (Winchester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for T. Bouder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does T. Bouder accept?
Health plans from CareSource list T. Bouder 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 T. Bouder affiliated with any hospitals?
According to CMS data, T. Bouder is affiliated with Winchester Medical Center.
When was this NPI record last updated?
The NPPES record for T. Bouder was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# T. Glen Bouder, MD · NPI 1043203318
Critical Care Medicine physician in Winchester, Virginia. Individual provider, active in the CMS NPPES registry since August 23, 2005.
## Identity
- **NPI:** 1043203318 (Entity type: Individual)
- **Enumerated:** August 23, 2005
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 0101244705 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1840 AMHERST ST, Winchester, VA 22601-2808
- **Phone:** (540) 536-8874 · **Fax:** (540) 536-7847
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valley Physician Enterprise, Inc. (NPI 1366128514, Winchester, VA); Winchester Medical Center (NPI 1679711261, Winchester, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** May 28, 2021
- **Other identifiers:** Medicaid 1043203318 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1043203318) · Data from the CMS NPPES public registry.