DR. MICHAEL JOSEPH BOULE DOCTOR OF DENTAL SUR
NPI 1043378722
Dentist in Plattsburgh, NY

Q: What is Michael Boule's NPI number?

The NPI number for Michael Boule is 1043378722. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Michael Boule's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Boule 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.

Active since December 05, 2006PECOS Enrolled

134 BRINKERHOFF STREET, PLATTSBURGH, NY 12901(518) 563-3090(518) 563-5455 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael Joseph Boule Doctor Of Dental Sur NPPES

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

DR. MICHAEL JOSEPH BOULE DOCTOR OF DENTAL SUR (NPI 1043378722) is an individual dentist in Plattsburgh, New York, licensed in New York (48160) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043378722

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MICHAEL JOSEPH BOULECredential: DOCTOR OF DENTAL SUR

Location Address134 BRINKERHOFF STREETPlattsburgh, NY 12901

Mailing Address240 Jabez Allen RoadPeru, NY 12972 · (518) 643-0224

Phone(518) 563-3090

Fax(518) 563-5455

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043378722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 48160

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

134 BRINKERHOFF STREET, Plattsburgh, NY 12901

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Other Identifiers 1

Medicaid02568803NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Joseph Boule Doctor Of Dental Sur is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

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 Michael Boule's NPI number?

The NPI number for Michael Boule is 1043378722. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Michael Boule located?

Michael Boule practices at 134 Brinkerhoff Street, Plattsburgh, NY 12901. The listed phone number is (518) 563-3090.

What is Michael Boule's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Boule enrolled in Medicare?

Yes. Michael Boule is registered in the Medicare PECOS enrollment system.

What insurance does Michael Boule accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Michael Boule 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 Michael Boule 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.