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DR. JACQUES MAURICE BOUCHARD M.D.
NPI 1073871844
Family Medicine in Moscow, ID

Active since April 30, 2012Opted out of Medicare · through Apr 24, 2028
515 S ALMON ST APT A, MOSCOW, ID 83843(208) 550-3060(208) 210-1640 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Jul 19, 2024, Feb 24, 2020 (3 updates tracked since 2020).

About Dr. Jacques Maurice Bouchard M.d. NPPES

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

DR. JACQUES MAURICE BOUCHARD M.D. (NPI 1073871844) is an individual family medicine provider in Moscow, Idaho, licensed in Idaho (M-14719) and active in the NPI registry since April 2012. He has opted out of Medicare through April 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073871844
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACQUES MAURICE BOUCHARDCredential: M.D.
Location Address515 S ALMON ST APT AMoscow, ID 83843-2986
Mailing Address515 S Almon St Apt AMoscow, ID 83843-2986 · (208) 550-3060 · Fax (208) 210-1640
Phone(208) 550-3060
Fax(208) 210-1640
Sole ProprietorYes
Enumeration DateApril 30, 2012
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1073871844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M-14719
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
515 S ALMON ST APT A, Moscow, ID 83843
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacques Maurice Bouchard M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 24, 2024 through April 24, 2028.

Opt-Out Effective DateApril 24, 2024
Opt-Out In Effect ThroughApril 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers34 claims80 services$4.67 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims288 services$2.50 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims230 services$2.38 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$23.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims74 services$3.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers31 claims31 services$18.92 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 Jacques Bouchard's NPI number?

The NPI number for Jacques Bouchard is 1073871844. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Jacques Bouchard located?

Jacques Bouchard practices at 515 S Almon St Apt A, Moscow, ID 83843. The listed phone number is (208) 550-3060.

What is Jacques Bouchard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacques Bouchard enrolled in Medicare?

No. Jacques Bouchard has opted out of Medicare through April 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacques Bouchard was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.