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SUSAN K BOOLBOL MD
NPI 1154305720
Surgery in Poughkeepsie, NY

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
45 READE PL, POUGHKEEPSIE, NY 12601(845) 214-1837 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan K Boolbol Md NPPES

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

SUSAN K BOOLBOL MD (NPI 1154305720) is an individual surgery provider in Poughkeepsie, New York, licensed in New York (2101701) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of George Washington University School Of Medicine (1994).

NPPES Registry Identity

NPI1154305720
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSUSAN K BOOLBOLCredential: MD
Location Address45 READE PLPoughkeepsie, NY 12601-3947
Mailing Address21 Reade Pl Ste 2100Poughkeepsie, NY 12601-3968 · (845) 214-1837
Phone(845) 214-1837
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1994
Enumeration DateDecember 6, 2005
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1154305720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NY · 2101701✔ Licensed in CT · 67054
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.
45 READE PL, Poughkeepsie, NY 12601
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Other Identifiers 1

Medicaid02169877NY

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

Susan K Boolbol 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 ID2264510759
PECOS Enrollment IDI20080424000184
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 8

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 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.
100 services76 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
57 services22 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
28 services22 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
24 services18 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.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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 20

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

PRIYAM PATTNAIK MD
Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5677
CHRISTINE WILSON AGACNP
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
ZEESHAN IRANI DO, MSMED
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (203) 241-2685
DIANNE GUARNERA THOMSON PA
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
DR. JAMES SHARP M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5618
DR. DOMENICO CARMINE MASTANDREA D.O.
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5680
CHENG NG MD
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-1317
MEGAN CALARDO CRNA
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500

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 Susan Boolbol's NPI number?

The NPI number for Susan Boolbol is 1154305720. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Susan Boolbol located?

Susan Boolbol practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 214-1837.

What is Susan Boolbol's specialty?

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

Is Susan Boolbol enrolled in Medicare?

Yes. Susan Boolbol 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.

Is Susan Boolbol affiliated with any hospitals?

According to CMS data, Susan Boolbol is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Boolbol was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.