DR. LON A BOUTIETTE MD
NPI 1174574479
Emergency Medicine in Fort Walton Beach, FL

Q: What is Lon Boutiette's NPI number?

The NPI number for Lon Boutiette is 1174574479. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Lon Boutiette's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Lon Boutiette was last updated on May 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2006PECOS Enrolled

1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-7607(205) 437-5998 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Lon A Boutiette Md NPPES

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

DR. LON A BOUTIETTE MD (NPI 1174574479) is an individual emergency medicine provider in Fort Walton Beach, Florida, licensed in Florida (ME51154) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174574479

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. LON A BOUTIETTECredential: MD

Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708

Mailing AddressPo Box 88452Chicago, IL 60680-1452 · (205) 437-6098 · Fax (205) 437-5998

Phone(850) 863-7607

Fax(205) 437-5998

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateMay 13, 2009

✔ NPI 1174574479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME51154

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 MAR WALT DR, Fort Walton Beach, FL 32547

Open in Google Maps ↗

Other Identifiers 10

Other059184933AL · Bcbs Provider Number

Medicare UPIND44896FL

Medicare PINP00304300FL

Other059184932AL · Bcbs Provider Number

Medicare PIN04698TFL

Medicare PIN04698EFL

Medicaid063236800FL

Medicare PIN04698FFL

Other059184934AL · Bcbs Provider Number

Other04698FL · Bcbs Provider Number

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. Lon A Boutiette Md 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

88 services83 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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.