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DR. NICHOLAS JAMES BOUTSELIS DMD
NPI 1093961245
Dentist - General Practice in Tewksbury, MA

Active since August 07, 2008PECOS Enrolled
381R MAIN STREET, TEWKSBURY, MA 01876(978) 640-1114(978) 640-1117 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicholas James Boutselis Dmd NPPES

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

DR. NICHOLAS JAMES BOUTSELIS DMD (NPI 1093961245) is an individual general practice provider in Tewksbury, Massachusetts, licensed in Massachusetts (18573) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093961245
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICHOLAS JAMES BOUTSELISCredential: DMD
Location Address381R MAIN STREETTewksbury, MA 01876
Mailing Address381r Main StreetTewksbury, MA 01876 · (978) 640-1114 · Fax (978) 640-1117
Phone(978) 640-1114
Fax(978) 640-1117
Sole ProprietorNo
Enumeration DateAugust 7, 2008
✔ NPI 1093961245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 18573
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
381R MAIN STREET, Tewksbury, MA 01876
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas James Boutselis Dmd 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 01876 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES

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

BOUTSELIS FAMILY DENTAL CARE PC
Dentist (General Practice)
381R MAIN STREET
TEWKSBURY, MA 01876
Middlesex County (978) 640-1114

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 Nicholas Boutselis's NPI number?

The NPI number for Nicholas Boutselis is 1093961245. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Nicholas Boutselis located?

Nicholas Boutselis practices at 381R Main Street, Tewksbury, MA 01876. The listed phone number is (978) 640-1114.

What is Nicholas Boutselis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nicholas Boutselis enrolled in Medicare?

Yes. Nicholas Boutselis is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Boutselis accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Nicholas Boutselis 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 Nicholas Boutselis was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.