BETH A BOUTHOT MD
NPI 1275600926
Internal Medicine - Nephrology in Burlington, MA

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-8430(781) 744-5397 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beth A Bouthot Md NPPES

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

BETH A BOUTHOT MD (NPI 1275600926) is an individual nephrology provider in Burlington, Massachusetts, licensed in Massachusetts (152147) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1989).

NPPES Registry Identity

NPI1275600926
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameBETH A BOUTHOTCredential: MD
Location Address41 MALL RD, LAHEY CLINICBurlington, MA 01805-0001
Mailing Address41 Mall Rd, Lahey ClinicBurlington, MA 01805-0001 · (781) 744-8430 · Fax (781) 744-5397
Fax(781) 744-5397
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1989
Enumeration DateNovember 29, 2006
Last NPPES UpdateOctober 21, 2010
NPI 1275600926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MA · 152147
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
41 MALL RD, Burlington, MA 01805

Other Identifiers 4

Medicare PIN390004598MA
Medicare UPINF29777MA
Medicaid3168018MA
Medicare PINA21832MA

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

Beth A Bouthot Md 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 ID7214016922
PECOS Enrollment IDI20080507000083
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
525 services169 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.
312 services125 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
272 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
96 services84 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
49 services25 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.
20 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims750 services$1.01 avg. paid by Medicare
Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers13 claims780 services$1.74 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers16 claims3,396 services$1.22 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
41 suppliers470 claims54,210 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers45 claims6,630 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims2,520 services$0.60 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 20

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

Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805

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 Beth Bouthot's NPI number?

The NPI number for Beth Bouthot is 1275600926. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Beth Bouthot located?

Beth Bouthot practices at 41 Mall Rd Lahey Clinic, Burlington, MA 01805. The listed phone number is (781) 744-8430.

What is Beth Bouthot's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Beth Bouthot enrolled in Medicare?

Yes. Beth Bouthot 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 Beth Bouthot accept?

Health plans from Anthem Blue Cross and Blue Shield list Beth Bouthot 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 Beth Bouthot affiliated with any hospitals?

According to CMS data, Beth Bouthot is affiliated with Anna Jaques Hospital, Northeast Hospital Corporation, Southcoast Hospitals Group, Beth Israel Deaconess Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Beth Bouthot was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.