MR. EDWARD J BOUDREAU PT, OCS
NPI 1043395007
Physical Therapist - Orthopedic in Lexington, MA
About Mr. Edward J Boudreau Pt, Ocs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD J BOUDREAU PT, OCS (NPI 1043395007) is an individual orthopedic provider in Lexington, Massachusetts, licensed in Massachusetts (15110) and active in the NPI registry since October 2006.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Edward J Boudreau Pt, Ocs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edward Boudreau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1063447316 (Massachusetts)
- 1,574 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.
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.
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.
LEXINGTON, MA 02421
LEXINGTON, MA 02421
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 Edward Boudreau's NPI number?
The NPI number for Edward Boudreau is 1043395007. It was assigned to this individual provider in the NPPES registry on October 26, 2006.
Where is Edward Boudreau located?
Edward Boudreau practices at 16 Hayden Ave, Lexington, MA 02421. The listed phone number is (781) 372-7000.
What is Edward Boudreau's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Edward Boudreau enrolled in Medicare?
Yes. Edward Boudreau is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edward Boudreau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Boudreau reassigns Medicare benefits to Lahey Clinic, Inc. (Burlington, MA). The 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 Edward Boudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Boudreau accept?
Health plans from Anthem Blue Cross and Blue Shield list Edward 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 Edward Boudreau was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Edward J Boudreau, PT, OCS · NPI 1043395007
Orthopedic provider in Lexington, Massachusetts. Individual provider, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1043395007 (Entity type: Individual)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 15110 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 16 HAYDEN AVE, Lexington, MA 02421-7929
- **Phone:** (781) 372-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Lahey Clinic, Inc. (NPI 1538194980, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1043395007) · Data from the CMS NPPES public registry.