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DR. EDMUND C.A. BOULTING M.D.
NPI 1174658116
Obstetrics & Gynecology - Gynecology in Lake Mary, FL

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
785 PRIMERA BLVD, SUITE 1031, LAKE MARY, FL 32746(407) 834-8111(407) 708-1958 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edmund C.a. Boulting M.d. NPPES

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

DR. EDMUND C.A. BOULTING M.D. (NPI 1174658116) is an individual gynecology provider in Lake Mary, Florida, licensed in Florida (ME70127) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1991).

NPPES Registry Identity

NPI1174658116
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. EDMUND C.A. BOULTINGCredential: M.D.
Location Address785 PRIMERA BLVD, SUITE 1031Lake Mary, FL 32746-2124
Mailing Address785 Primera Blvd, Suite 1031Lake Mary, FL 32746-2124 · (407) 834-8111 · Fax (407) 708-1958
Phone(407) 834-8111
Fax(407) 708-1958
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1991
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1174658116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME70127
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
785 PRIMERA BLVD, Lake Mary, FL 32746
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Other Identifiers 1

Medicaid379728700FL

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. Edmund C.a. Boulting 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 ID8123202017
PECOS Enrollment IDI20110419000176
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 3

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 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.
23 services19 patients
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.
22 services18 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
63%93 patients3/55-star benchmark: 93%
Cervical Cancer Screening
79%453 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
40%53 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
24%148 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
85%983 patients4/55-star benchmark: 100%
e-Prescribing
93%127 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%327 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%790 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 41% · 469 patients
40%469 patients
Provide Patients Electronic Access to Their Health Information
96%285 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

GOSS, PARKER AND QUINSEY, P.A.
Obstetrics & Gynecology
785 PRIMERA BLVD, SUITE 1031
LAKE MARY, FL 32746
Seminole County (407) 834-8111
MS. SUSAN PHILLIPS VAUGHEN ARNP CNM
Advanced Practice Midwife
785 PRIMERA BLVD, SUITE 1031
LAKE MARY, FL 32746
Seminole County (407) 834-8111
MR. JOHN V PARKER MD
Obstetrics & Gynecology (Gynecology)
785 PRIMERA BLVD, SUITE 1031
LAKE MARY, FL 32746
Seminole County (407) 834-8111
MS. DONNA HARVEL BALO ARNP, CNM, MS
Advanced Practice Midwife
785 PRIMERA BLVD, #1031
LAKE MARY, FL 32746
Seminole County (407) 834-8111
BRIANNE ELIZABETH PARKER PA-C
Physician Assistant
785 PRIMERA BLVD
LAKE MARY, FL 32746
Seminole County (407) 834-8111
ORLANDO HEALTH PHYSICIAN PARTNERS INC
Obstetrics & Gynecology
785 PRIMERA BLVD, SUITE 1031
LAKE MARY, FL 32746
Seminole County (407) 834-8111
ALICIA GAMBLE MCLOONE PA-C
Physician Assistant
785 PRIMERA BLVD, SUITE# 1031
LAKE MARY, FL 32746
Seminole County (407) 834-8111
REBECCA STARKEY CNM, ARNP
Advanced Practice Midwife
785 PRIMERA BLVD, STE 1031
LAKE MARY, FL 32746
Seminole County (407) 834-8111

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 Edmund Boulting's NPI number?

The NPI number for Edmund Boulting is 1174658116. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Edmund Boulting located?

Edmund Boulting practices at 785 Primera Blvd Suite 1031, Lake Mary, FL 32746. The listed phone number is (407) 834-8111.

What is Edmund Boulting's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Edmund Boulting enrolled in Medicare?

Yes. Edmund Boulting 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 Edmund Boulting accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Edmund Boulting 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 Edmund Boulting affiliated with any hospitals?

According to CMS data, Edmund Boulting is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Edmund Boulting was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.