PAUL T BOULOS MD
NPI 1083620942
Neurological Surgery in Newark, DE

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
69.97/100
CMS Quality Rating
774 CHRISTIANA RD, STE 202, NEWARK, DE 19713(302) 366-7671(302) 366-7549 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2017, Mar 15, 2017 (2 updates tracked since 2017).

About Paul T Boulos Md NPPES

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

PAUL T BOULOS MD (NPI 1083620942) is an individual neurological surgery provider in Newark, Delaware, licensed in Delaware (C1-0009299) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2000).

NPPES Registry Identity

NPI1083620942
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePAUL T BOULOSCredential: MD
Location Address774 CHRISTIANA RD, STE 202Newark, DE 19713-4221
Mailing Address774 Christiana Rd, Ste 202Newark, DE 19713-4221 · (302) 366-7671 · Fax (302) 366-7549
Fax(302) 366-7549
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 20, 20172 updates tracked since enumeration
NPI 1083620942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in DE · C1-0009299 Licensed in MD · D0073434
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

774 CHRISTIANA RD, Newark, DE 19713

Accepted 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

Paul T Boulos Md 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 ID4385648880
PECOS Enrollment IDI20100629000033, I20120507000435
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 24

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 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.
566 services333 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
193 services193 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
131 services128 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
123 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services76 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
70 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

69.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.01
Promoting Interoperability52
Improvement Activities40
Cost78.9

Reported Quality Measures

Advance Care Plan
67%796 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%55 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
86%2,817 patients1/55-star benchmark: 100%
Falls: Plan of Care
63%315 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%820 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 791 patients
Patients screened: 100% · 791 patients
88%173 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 662 patients
100%662 patients
Provide Patients Electronic Access to Their Health Information
40%521 patients1/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
64%352 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier18 claims18 services$3,753.02 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$17.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Vascular Neurology)
774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Specialist
774 CHRISTIANA RD, SUITE 101
NEWARK, DE 19713
Radiology (Diagnostic Radiology)
774 CHRISTIANA RD, SUITE 1
NEWARK, DE 19713
Audiologist
774 CHRISTIANA RD, NEUROSCIENCE BLDG SUITE B4
NEWARK, DE 19713
Surgery
774 CHRISTIANA RD
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Otolaryngology
774 CHRISTIANA RD, SUITE 107
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713

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 Paul Boulos's NPI number?

The NPI number for Paul Boulos is 1083620942. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Paul Boulos located?

Paul Boulos practices at 774 Christiana Rd Ste 202, Newark, DE 19713. The listed phone number is (302) 366-7671.

What is Paul Boulos's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Paul Boulos enrolled in Medicare?

Yes. Paul Boulos 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 Paul Boulos accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Paul Boulos 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.

Is Paul Boulos affiliated with any hospitals?

According to CMS data, Paul Boulos is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Paul Boulos was last updated on March 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.