T. GLEN BOUDER MD
NPI 1043203318
Internal Medicine - Critical Care Medicine in Winchester, VA

Q: 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.

Q: 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.

Q: 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.

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment

1840 AMHERST ST, WINCHESTER, VA 22601(540) 536-8874(540) 536-7847 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2021, Mar 29, 2021 (2 updates tracked since 2021).

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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

NPI1043203318

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameT. GLEN BOUDERCredential: MD

Location Address1840 AMHERST STWinchester, VA 22601-2808

Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235

Phone(540) 536-8874

Fax(540) 536-7847

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1991

Enumeration DateAugust 23, 2005

Last NPPES UpdateMay 28, 20212 updates tracked since enumeration

NPPES CertifiedMay 28, 2021

✔ NPI 1043203318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in VA · 0101244705

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD051542L (PA)

1840 AMHERST ST, Winchester, VA 22601

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Secondary Practice Location 1

Location 1190 Campus Blvd Ste 201Winchester, VA 22601-2872 · Phone (540) 536-5980 · Fax (540) 536-5979

Other Identifiers 1

Medicaid1043203318MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

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.

PECOS PAC ID4183617343

PECOS Enrollment IDI20090930000609

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.

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

35 services35 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

35 services35 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

32 services32 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

27 services27 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

22 services22 patients

Biopsy of lung airway using an endoscope 31625

A biopsy of the lung airway using an endoscope is a procedure where a small, flexible tube with a light and camera is inserted through your mouth or nose to reach your lungs. A tiny tool on the endoscope collects a small tissue sample for examination.

19 services19 patients

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, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Physician 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.

New Patient

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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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.

AKHILA SURE M.D.

Surgery (Surgical Critical Care)