JOSEPH PETER BOUVIER JR. M.D.
NPI 1295744720
Ophthalmology in Springfield, MA

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
92.84/100
CMS Quality Rating
275 BICENTENNIAL HWY STE 101, SPRINGFIELD, MA 01118(413) 783-3100(413) 782-7998 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Apr 12, 2021 (2 updates tracked since 2021).

About Joseph Peter Bouvier Jr. M.d. NPPES

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

JOSEPH PETER BOUVIER JR. M.D. (NPI 1295744720) is an individual ophthalmology provider in Springfield, Massachusetts, licensed in Massachusetts (226532) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and maintains a secondary practice location in Longmeadow.

NPPES Registry Identity

NPI1295744720
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSEPH PETER BOUVIER JR.Credential: M.D.
Location Address275 BICENTENNIAL HWY STE 101Springfield, MA 01118-1965
Mailing Address275 Bicentennial Hwy Ste 101Springfield, MA 01118-1965 · (413) 783-3100 · Fax (413) 782-7998
Fax(413) 782-7998
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1994
Enumeration DateAugust 5, 2006
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
NPI 1295744720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 226532
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
275 BICENTENNIAL HWY STE 101, Springfield, MA 01118

Secondary Practice Location 1

Location 1809 Williams StLongmeadow, MA 01106-2060 · Phone (413) 754-3808 · Fax (413) 754-3809

Other Identifiers 10

Other226532MA · Connecticare
Other1134436MA · Aetna
OtherJ29677MA · Blue Cross Blue Shield
OtherMB6436MA · Bmc Healthnet
Medicaid110042142MA
OtherTUFTSMA · 494426
Other128529MA · Fallon
OtherAA347095MA · Harvard Pilgrim Health Care
OtherMA3541MA · Eyemed
Other226532MA · Massachusetts License

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

Joseph Peter Bouvier Jr. 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 ID3779516513
PECOS Enrollment IDI20051025000182
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 18

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,216 services1,015 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
565 services537 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
505 services368 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
258 services237 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
237 services143 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
224 services224 patients

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01118 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

92.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost76.14

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims12 services$58.34 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims24 services$57.75 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers22 claims42 services$17.43 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 5

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

Eyewear Supplier
275 BICENTENNIAL HWY STE 101
SPRINGFIELD, MA 01118
Ophthalmology
275 BICENTENNIAL HWY STE 101
SPRINGFIELD, MA 01118
Ophthalmology
275 BICENTENNIAL HWY STE 101
SPRINGFIELD, MA 01118
Optometrist
275 BICENTENNIAL HWY STE 101
SPRINGFIELD, MA 01118
Optometrist
275 BICENTENNIAL HWY STE 101
SPRINGFIELD, MA 01118

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 Joseph Bouvier's NPI number?

The NPI number for Joseph Bouvier is 1295744720. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Joseph Bouvier located?

Joseph Bouvier practices at 275 Bicentennial Hwy Ste 101, Springfield, MA 01118. The listed phone number is (413) 783-3100.

What is Joseph Bouvier's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joseph Bouvier enrolled in Medicare?

Yes. Joseph Bouvier 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 Joseph Bouvier accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Joseph Bouvier 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 Joseph Bouvier affiliated with any hospitals?

According to CMS data, Joseph Bouvier is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Bouvier was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.