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GREGORY BOUCHER D.O.
NPI 1295990042
Surgery in Charleston, SC

Active since July 22, 2008PECOS Enrolled
96 JONATHAN LUCAS ST, MUSC DEPARTMENT OF SURGERY, CHARLESTON, SC 29425(843) 792-3072 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory Boucher D.o. NPPES

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

GREGORY BOUCHER D.O. (NPI 1295990042) is an individual surgery provider in Charleston, South Carolina, licensed in South Carolina (LL176) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295990042
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGREGORY BOUCHERCredential: D.O.
Location Address96 JONATHAN LUCAS ST, MUSC DEPARTMENT OF SURGERYCharleston, SC 29425-8900
Mailing Address96 Jonathan Lucas St, Musc Department Of SurgeryCharleston, SC 29425-8900
Phone(843) 792-3072
Sole ProprietorYes
Enumeration DateJuly 22, 2008
✔ NPI 1295990042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · LL176
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

96 JONATHAN LUCAS ST, Charleston, SC 29425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Boucher D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

TYLER MARIE SMITH PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (404) 277-6303
MUSC HOSPITAL
General Acute Care Hospital
96 JONATHAN LUCAS ST, SUITE 409
CHARLESTON, SC 29425
Charleston County (843) 792-5897
MS. JOANNA JOY WARD PA-C
Physician Assistant (Medical)
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-2300
MAYA HADAS WAHL PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-2867
DERLIS CHRISTIAN FLEITAS SOSA MD
Internal Medicine (Pulmonary Disease)
96 JONATHAN LUCAS ST, STE 816 CSB MSC 630
CHARLESTON, SC 29425
Charleston County (943) 792-3167
ANGELA JESSUP SHEALY PA-C
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. FAYE N HANT D.O.
Internal Medicine (Rheumatology)
96 JONATHAN LUCAS ST, SUITE 912 CSB
CHARLESTON, SC 29425
Charleston County (843) 792-3484
MONTHER SAUD AMER ALTITI MD
Surgery
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Charleston County (843) 792-3553

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 Gregory Boucher's NPI number?

The NPI number for Gregory Boucher is 1295990042. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Gregory Boucher located?

Gregory Boucher practices at 96 Jonathan Lucas St Musc Department Of Surgery, Charleston, SC 29425. The listed phone number is (843) 792-3072.

What is Gregory Boucher's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gregory Boucher enrolled in Medicare?

Yes. Gregory Boucher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Boucher was last updated on July 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.