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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUKE BOUCHER MD
NPI 1043879604
Internal Medicine - Pulmonary Disease in Tacoma, WA

Active since June 07, 2019PECOS Enrolled
9040 JACKSON AVENUE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Aug 17, 2023, Aug 10, 2023 and 3 more (6 updates tracked since 2019).

About Luke Boucher Md NPPES

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

LUKE BOUCHER MD (NPI 1043879604) is an individual pulmonary disease provider in Tacoma, Washington, licensed in Missouri (2021014127) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043879604
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameLUKE BOUCHERCredential: MD
Location Address9040 JACKSON AVENUETacoma, WA 98431-0001
Mailing Address9040 Jackson AvenueTacoma, WA 98431-0001
Phone(253) 968-1110
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateJuly 29, 20266 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1043879604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MO · 2021014127
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2021014127 (MO)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2021014127 (MO)
9040 JACKSON AVENUE, Tacoma, WA 98431
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Boucher Md 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 98431 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

MR. TIMOTHY MICHAEL BARRY RN
Registered Nurse
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-2235
DANIEL G NG PHARMD
Pharmacist
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-1110
MS. SUSAN EACCARINO LCSW
Social Worker (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-2252
DR. TAHERA ARSHAD
Internal Medicine
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-2462
PAMELA FINDER PSY.D.
Psychologist (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-1110
CAITLIN BETTGER MD
Internal Medicine (Infectious Disease)
9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (210) 916-5910
DR. WILLIAM ALEXANDER KETCHUM MD
Surgery
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-2252
MISS EILEEN C GONZALEZ LEGG LCSW
Social Worker (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-2252

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 Luke Boucher's NPI number?

The NPI number for Luke Boucher is 1043879604. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Luke Boucher located?

Luke Boucher practices at 9040 Jackson Avenue, Tacoma, WA 98431. The listed phone number is (253) 968-1110.

What is Luke Boucher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Luke Boucher enrolled in Medicare?

Yes. Luke Boucher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke Boucher was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.