MICHAEL LEWIS BOUCHER M.D.
NPI 1053638932
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since April 30, 2010PECOS EnrolledAccepts Medicare Assignment
91.7/100
CMS Quality Rating
150 UCLA MEDICAL PLAZA, LOS ANGELES, CA 90095(310) 825-9989 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, May 9, 2018 (2 updates tracked since 2018).

About Michael Lewis Boucher M.d. NPPES

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

MICHAEL LEWIS BOUCHER M.D. (NPI 1053638932) is an individual psychiatry provider in Los Angeles, California, licensed in California (121151) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2010).

NPPES Registry Identity

NPI1053638932
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMICHAEL LEWIS BOUCHERCredential: M.D.
Location Address150 UCLA MEDICAL PLAZALos Angeles, CA 90095-5055
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2010
Enumeration DateApril 30, 2010
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1053638932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · 121151
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
150 UCLA MEDICAL PLAZA, Los Angeles, CA 90095

Secondary Practice Location 1

Location 1760 Westwood Plz, UCLA Psychiatry Res Ed OfficeLos Angeles, CA 90024-5055 · Phone (310) 825-0018

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Michael Lewis Boucher M.d. 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 ID7911134796
PECOS Enrollment IDI20131227000221
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

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.
64 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

91.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
150 UCLA MEDICAL PLAZA
LOS ANGELES, CA 90095
Nurse Practitioner (Psychiatric/Mental Health)
150 UCLA MEDICAL PLAZA
LOS ANGELES, CA 90095
Social Worker (Clinical)
150 UCLA MEDICAL PLAZA
LOS ANGELES, CA 90095
Nurse Practitioner
150 UCLA MEDICAL PLAZA
LOS ANGELES, CA 90095
Psychiatric Hospital
150 UCLA MEDICAL PLAZA
LOS ANGELES, CA 90095

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 Boucher's NPI number?

The NPI number for Michael Boucher is 1053638932. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Michael Boucher located?

Michael Boucher practices at 150 Ucla Medical Plaza, Los Angeles, CA 90095. The listed phone number is (310) 825-9989.

What is Michael Boucher's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Boucher enrolled in Medicare?

Yes. Michael Boucher 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.

When was this NPI record last updated?

The NPPES record for Michael Boucher was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.