DR. KENT ANDREW BOUCHER M.D.
NPI 1144725755
Surgery in Odessa, TX

Q: What is Kent Andrew Boucher's NPI number?

The NPI number for Kent Andrew Boucher is 1144725755. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Kent Andrew Boucher's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since March 26, 2018PECOS Enrolled

701 W 5TH ST, ODESSA, TX 79763(432) 703-5011 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2019, Mar 26, 2018 (2 updates tracked since 2018).

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About Dr. Kent Andrew Boucher M.d. NPPES

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

DR. KENT ANDREW BOUCHER M.D. (NPI 1144725755) is an individual surgery provider in Odessa, Texas, licensed in Texas (S2734) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144725755

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. KENT ANDREW BOUCHERCredential: M.D.

Location Address701 W 5TH STOdessa, TX 79763-4206

Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 703-5011 · Fax (575) 784-6028

Phone(432) 703-5011

Sole ProprietorNo

Enumeration DateMarch 26, 2018

Last NPPES UpdateJune 26, 20232 updates tracked since enumeration

NPPES CertifiedJune 26, 2023

✔ NPI 1144725755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · S2734

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedGeneral PracticeTaxonomy 208D00000X · License S2734 (TX)

701 W 5TH ST, Odessa, TX 79763

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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. Kent Andrew Boucher M.d. 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 79763 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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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.

ADETOMIWA OGUNDERE M.D.

Internal Medicine

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5375

DR. CARLOS NIETO JR. M.D.

Pediatrics (Pediatric Critical Care Medicine)

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 335-1500

AMOGE CHINENYE OPARA MD

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5238

DR. STEPHANIE VILLARREAL M.D.

Pediatrics

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 335-2222

MERIDITH LYNN BUZBEE

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5083

CARINA ROSE GOODART

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5238

CHUKWUDIKE GREAT NNAJI

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5238

LUTFOR NESSA MD, MPH

Internal Medicine

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5375

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 Kent Andrew Boucher's NPI number?

The NPI number for Kent Andrew Boucher is 1144725755. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Kent Andrew Boucher located?

Kent Andrew Boucher practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 703-5011.

What is Kent Andrew Boucher's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kent Andrew Boucher enrolled in Medicare?

Yes. Kent Andrew Boucher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kent Andrew Boucher was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.