DR. EDMUND C.A. BOULTING M.D.
NPI 1174658116
Obstetrics & Gynecology - Gynecology in Lake Mary, FL
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 and is a graduate of University Of Miami, Lm Miller School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Other Identifiers 1
Accepted 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 63% | 93 |
| Cervical Cancer Screening | 79% | 453 |
| Closing the Referral Loop: Receipt of Specialist Report | 40% | 53 |
| Colorectal Cancer Screening | 24% | 148 |
| Documentation of Current Medications in the Medical Record | 85% | 983 |
| e-Prescribing | 93% | 127 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 30% | 327 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 34% | 790 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 40% | 469 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 41% | 469 |
| Provide Patients Electronic Access to Their Health Information | 96% | 285 |
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.
LAKE MARY, FL 32746
LAKE MARY, FL 32746
LAKE MARY, FL 32746
LAKE MARY, FL 32746
LAKE MARY, FL 32746
LAKE MARY, FL 32746
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174658116, enumerated as an "individual" on February 22, 2007.
The provider is located at 785 PRIMERA BLVD SUITE 1031 LAKE MARY, FL 32746 and the phone number is (407) 834-8111.
Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.
