1. Home
  2. Directory
  3. Florida
  4. Lake Mary
  5. Family Medicine
  6. NPI Profile

DR. MICHAEL BOUGOULIAS M.D.
NPI 1174514178
Family Medicine in Lake Mary, FL

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
719 RODEL CV STE 2001, LAKE MARY, FL 32746(407) 302-3115(321) 203-4602 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2020, Mar 15, 2017 (2 updates tracked since 2017).

About Dr. Michael Bougoulias M.d. NPPES

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

DR. MICHAEL BOUGOULIAS M.D. (NPI 1174514178) is an individual family medicine provider in Lake Mary, Florida, licensed in Florida (ME61499) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of University Of South Florida College Of Medicine (1989).

NPPES Registry Identity

NPI1174514178
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL BOUGOULIASCredential: M.D.
Location Address719 RODEL CV STE 2001Lake Mary, FL 32746-5716
Mailing Address719 Rodel Cv Ste 2001Lake Mary, FL 32746-5716 · (407) 302-3115 · Fax (321) 203-4602
Phone(407) 302-3115
Fax(321) 203-4602
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1989
Enumeration DateOctober 31, 2005
Last NPPES UpdateMay 18, 20202 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1174514178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME61499
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
719 RODEL CV STE 2001, Lake Mary, FL 32746
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Michael Bougoulias M.d. 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 ID4880599679
PECOS Enrollment IDI20071119000107
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
341 services218 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
231 services231 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
87 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
73 services73 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
70 services70 patients
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.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims79 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims28 services$1.06 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers15 claims72 services$14.03 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$35.54 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$14.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims74 services$1.61 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 4

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

ORLANDO PHYSICIANS NETWORK INC
Family Medicine
719 RODEL CV STE 2001
LAKE MARY, FL 32746
Seminole County (407) 302-3115
MR. SCOTT ROBERT HEINZ PA-C
Physician Assistant (Medical)
719 RODEL CV STE 2001
LAKE MARY, FL 32746
Seminole County (407) 302-3115
LORI A GRANT DPM
Podiatrist
719 RODEL CV STE 2001
LAKE MARY, FL 32746
Seminole County (407) 878-4720
NIURKA M MARTINEZ MS, RDN, LDN
Dietitian, Registered
719 RODEL CV STE 2001
LAKE MARY, FL 32746
Seminole County (407) 302-3115

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 Michael Bougoulias's NPI number?

The NPI number for Michael Bougoulias is 1174514178. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Michael Bougoulias located?

Michael Bougoulias practices at 719 Rodel Cv Ste 2001, Lake Mary, FL 32746. The listed phone number is (407) 302-3115.

What is Michael Bougoulias's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Bougoulias enrolled in Medicare?

Yes. Michael Bougoulias 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 Michael Bougoulias accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Michael Bougoulias 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 Michael Bougoulias affiliated with any hospitals?

According to CMS data, Michael Bougoulias is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Michael Bougoulias was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.