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MR. THADDEUS JASON BOUGHTON ANP-BC
NPI 1043553357
Nurse Practitioner - Adult Health in Muscle Shoals, AL

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
1110 E 6TH STREET SUITE E, MUSCLE SHOALS, AL 35661(256) 314-2431(256) 314-2435 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thaddeus Jason Boughton Anp-bc NPPES

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

MR. THADDEUS JASON BOUGHTON ANP-BC (NPI 1043553357) is an individual adult health provider in Muscle Shoals, Alabama, licensed in Alabama (1139488) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2012).

NPPES Registry Identity

NPI1043553357
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. THADDEUS JASON BOUGHTONCredential: ANP-BC
Location Address1110 E 6TH STREET SUITE EMuscle Shoals, AL 35661
Mailing Address1110 E 6th Street Suite EMuscle Shoals, AL 35661-3669 · (256) 314-2431
Phone(256) 314-2431
Fax(256) 314-2435
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2012
Enumeration DateApril 4, 2013
Last NPPES UpdateMay 9, 2019
✔ NPI 1043553357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · 1139488
1110 E 6TH STREET SUITE E, Muscle Shoals, AL 35661
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Mr. Thaddeus Jason Boughton Anp-bc 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 ID345476123
PECOS Enrollment IDI20131127000458
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
265 services96 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
218 services91 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
198 services86 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
120 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services11 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35661 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier19 claims19 services$300.40 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
2 suppliers22 claims2,960 services$6.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers164 claims164 services$189.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Thaddeus Boughton's NPI number?

The NPI number for Thaddeus Boughton is 1043553357. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Thaddeus Boughton located?

Thaddeus Boughton practices at 1110 E 6th Street Suite E, Muscle Shoals, AL 35661. The listed phone number is (256) 314-2431.

What is Thaddeus Boughton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thaddeus Boughton enrolled in Medicare?

Yes. Thaddeus Boughton 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.

What insurance does Thaddeus Boughton accept?

Health plans from Blue Cross and Blue Shield of Alabama list Thaddeus Boughton 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 Thaddeus Boughton was last updated on May 9, 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.