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DR. MATTHEW STEPHEN BOULOS D.O.
NPI 1316327323
Internal Medicine in Wake Forest, NC

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
11640 NORTHPARK DR STE 100, WAKE FOREST, NC 27587(919) 366-7759 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2023, May 16, 2022, Aug 2, 2021 (3 updates tracked since 2021).

About Dr. Matthew Stephen Boulos D.o. NPPES

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

DR. MATTHEW STEPHEN BOULOS D.O. (NPI 1316327323) is an individual internal medicine provider in Wake Forest, North Carolina, licensed in North Carolina (2018-00732) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316327323
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW STEPHEN BOULOSCredential: D.O.
Location Address11640 NORTHPARK DR STE 100Wake Forest, NC 27587-5741
Mailing Address11640 Northpark Dr Ste 100Wake Forest, NC 27587-5741 · (919) 366-7759
Phone(919) 366-7759
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1316327323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2018-00732
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11640 NORTHPARK DR STE 100, Wake Forest, NC 27587
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Stephen Boulos D.o. 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 ID2860792546
PECOS Enrollment IDI20180907002667
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Boulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Specialty Physicians LLC
1.1 mi
Family Medicine
1030 SIENA DR
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 213 clinicians in this Medicare group
NPI 1225684004 (919) 235-6540
Duke University Health System, Inc.
10 mi
Internal Medicine
3400 WAKE FOREST RD
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1497912232 (North Carolina)
  • 1,482 clinicians in this Medicare group
NPI 1477584894 (919) 954-3271

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
71 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

ERIN LAURA DIAMOND-PAULSEN FNP
Nurse Practitioner (Family)
11640 NORTHPARK DR STE 100
WAKE FOREST, NC 27587
Wake County (919) 235-6540

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 Matthew Boulos's NPI number?

The NPI number for Matthew Boulos is 1316327323. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Matthew Boulos located?

Matthew Boulos practices at 11640 Northpark Dr Ste 100, Wake Forest, NC 27587. The listed phone number is (919) 366-7759.

What is Matthew Boulos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Boulos enrolled in Medicare?

Yes. Matthew Boulos 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.

Which organizations bill Medicare for Matthew Boulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Boulos reassigns Medicare benefits to 2 organizations: Wake Specialty Physicians LLC (Wake Forest, NC) and Duke University Health System, Inc. (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Boulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Boulos accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Matthew Boulos 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 Matthew Boulos affiliated with any hospitals?

According to CMS data, Matthew Boulos is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Boulos was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.