NICOLE BOUTAUGH DO
NPI 1144668914
Hospitalist in Lewiston, ME

Q: What is Nicole Boutaugh's NPI number?

The NPI number for Nicole Boutaugh is 1144668914. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Q: What is Nicole Boutaugh's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Boutaugh was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment

83.95/100

CMS Quality Rating

300 MAIN ST, LEWISTON, ME 04240(207) 795-7575 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Dec 1, 2017 (2 updates tracked since 2017).

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About Nicole Boutaugh Do NPPES

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

NICOLE BOUTAUGH DO (NPI 1144668914) is an individual hospitalist provider in Lewiston, Maine, licensed in Maine (DO2563) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1144668914

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNICOLE BOUTAUGHCredential: DO

Location Address300 MAIN STLewiston, ME 04240-7027

Mailing Address300 Main StLewiston, ME 04240-7027 · (207) 795-7575

Phone(207) 795-7575

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2013

Enumeration DateJune 13, 2013

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1144668914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in ME · DO2563

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License TP13108 (ME)

300 MAIN ST, Lewiston, ME 04240

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Secondary Practice Location 1

Location 176 High StLewiston, ME 04240-7649 · Phone (207) 795-5800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Boutaugh Do 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 ID2961625892

PECOS Enrollment IDI20160425001281

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Boutaugh reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Maine Medical Center

Same address

General Acute Care Hospital

300 MAIN ST
Lewiston, ME 04240

Reassigned Medicare billing, Maine enrollment
920 clinicians in this Medicare group

NPI 1689653487 (207) 795-5646

Bridgton Hospital

25 mi

Critical Access

10 HOSPITAL DR
Bridgton, ME 04009

Reassigned Medicare billing, Maine enrollment
563 clinicians in this Medicare group

NPI 1154370153 (207) 795-5709

Pai Participant 7 PC

25 mi

Geriatric Medicine

367 US ROUTE 1 STE 3S
Falmouth, ME 04105

Reassigned Medicare billing, Maine enrollment
26 clinicians in this Medicare group

NPI 1548829872 (207) 962-1200

Maine Medical Consultants PC

30 mi

Internal Medicine

335 BRIGHTON AVE
Portland, ME 04102

Reassigned Medicare billing, Maine enrollment
28 clinicians in this Medicare group

NPI 1619519873 (207) 775-4000

Rumford Community Family Health Center, Inc.

33 mi

Rural Health

146 WELD ST
Dixfield, ME 04224

Reassigned Medicare billing, Maine enrollment
77 clinicians in this Medicare group

NPI 1902841083 (207) 562-4226

Rumford Hospital

35 mi

Critical Access

420 FRANKLIN ST
Rumford, ME 04276

Reassigned Medicare billing, Maine enrollment
544 clinicians in this Medicare group

NPI 1205991122 (207) 369-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

259 services62 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

145 services49 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

107 services38 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

66 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services30 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

33 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services21 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

25 services14 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services22 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

24 services24 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

23 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200024

Location300 Main StreetLewiston, ME 04240 · Androscoggin County

Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Rumford Hospital

Critical Access Hospitals · Rumford, ME

OwnershipProprietary

CMS Certification Number201306

Location420 Franklin StreetRumford, ME 04276 · Oxford County

Emergency services

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201310

Location10 Hospital DriveBridgton, ME 04009 · Cumberland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

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.

83.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.69

Promoting Interoperability

Improvement Activities

Cost

70.81

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.

ANGELA WOOD CRNA

Nurse Anesthetist, Certified Registered

300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240

Androscoggin County (207) 795-0111

DANA MCCOY PT

Physical Therapist