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EMILY BROOKE BOUCHER PA-C
NPI 1255933263
Physician Assistant in Kettering, OH

Active since November 13, 2020PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3737 SOUTHERN BLVD, BOONSHOFT BLD. FLOOR E, KETTERING, OH 45429(937) 294-1489 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Nov 13, 2020 (2 updates tracked since 2020).

About Emily Brooke Boucher Pa-c NPPES

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

EMILY BROOKE BOUCHER PA-C (NPI 1255933263) is an individual physician assistant in Kettering, Ohio, licensed in (50.006744RX) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255933263
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY BROOKE BOUCHERCredential: PA-C
Location Address3737 SOUTHERN BLVD, BOONSHOFT BLD. FLOOR EKettering, OH 45429
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1306 · Fax (937) 522-7017
Phone(937) 294-1489
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 13, 2020
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1255933263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed · 50.006744RX✔ Licensed in OH · 1160683
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3737 SOUTHERN BLVD, Kettering, OH 45429
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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

Emily Brooke Boucher Pa-c 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 ID1557774411
PECOS Enrollment IDI20210113002761
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 5

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.
70 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 16

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

ARAM MOSES DONIGIAN M.D.
Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 433-5309
ELIZABETH MACKENZIE DULANEY-CRIPE MD
Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 433-5309
DR. AMBUJAKSHAN DILDEEP M.D
Surgery
3737 SOUTHERN BLVD, SUITE 2000
KETTERING, OH 45429
Montgomery County (937) 610-1915
FAR OAKS ORTHOPEDISTS, INC
Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 433-5309
ALLIANCE PHYSICIAN INC
Internal Medicine (Hematology & Oncology)
3737 SOUTHERN BLVD, SUITE 3200
KETTERING, OH 45429
Montgomery County (937) 558-3500
DONALD WILLIAM AMES M.D.
Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 433-5309
JAMES O'BRYAN WILLEY P.A.
Physician Assistant (Surgical)
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 433-5309
ALLIANCE PHYSICIANS INC
Surgery
3737 SOUTHERN BLVD, SUITE 2000
KETTERING, OH 45429
Montgomery County (937) 610-1915

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 Emily Boucher's NPI number?

The NPI number for Emily Boucher is 1255933263. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Where is Emily Boucher located?

Emily Boucher practices at 3737 Southern Blvd Boonshoft Bld. Floor E, Kettering, OH 45429. The listed phone number is (937) 294-1489.

What is Emily Boucher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Boucher enrolled in Medicare?

Yes. Emily Boucher 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 Emily Boucher accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Emily Boucher 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 Emily Boucher affiliated with any hospitals?

According to CMS data, Emily Boucher is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Boucher was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.