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ALEXIS C. BOUTENEFF M.D.
NPI 1316982515
Otolaryngology in Litchfield, CT

Active since June 19, 2006PECOS Enrolled
105 BUELL RD, LITCHFIELD, CT 06759(860) 567-9893 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2021, Nov 16, 2018, Sep 28, 2018 (3 updates tracked since 2018).

About Alexis C. Bouteneff M.d. NPPES

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

ALEXIS C. BOUTENEFF M.D. (NPI 1316982515) is an individual otolaryngology provider in Litchfield, Connecticut, licensed in Connecticut (023370) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316982515
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameALEXIS C. BOUTENEFFCredential: M.D.
Location Address105 BUELL RDLitchfield, CT 06759-3006
Mailing Address105 Buell RdLitchfield, CT 06759-3006 · (860) 567-9893
Phone(860) 567-9893
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1316982515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in CT · 023370✔ Licensed in MN · 64523✔ Licensed in CA · C158137
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
105 BUELL RD, Litchfield, CT 06759
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Secondary Practice Locations 3

Location 1210 9th St SERochester, MN 55904-6756 · Phone (507) 288-3443
Location 22350 Buhne St Ste CEureka, CA 95501-3205 · Phone (707) 444-8863 · Fax (707) 444-9496
Location 3272 Hospital Rd Ste G70Chillicothe, OH 45601-9031 · Phone (740) 779-4393

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis C. Bouteneff M.d. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Alexis Bouteneff reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Guthrie Medical Group, P.C.
175 mi
General Practice
1 GUTHRIE SQ
Sayre, PA 18840
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 798 clinicians in this Medicare group
NPI 1245246644 (570) 888-5858
Sanford Clinic
1,146 mi
Pulmonary Disease
701 E 2ND ST
Ida Grove, IA 51445
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1265457964 (712) 364-7341
Sanford Medical Center
1,204 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897
Providence Medical Foundation
2,427 mi
Urology
19333 BEAR VALLEY RD, SUITE 106
Apple Valley, CA 92308
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1053616706 (760) 240-5505

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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
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.
15 services15 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
14 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06759 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Alexis Bouteneff's NPI number?

The NPI number for Alexis Bouteneff is 1316982515. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Alexis Bouteneff located?

Alexis Bouteneff practices at 105 Buell Rd, Litchfield, CT 06759. The listed phone number is (860) 567-9893.

What is Alexis Bouteneff's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Alexis Bouteneff enrolled in Medicare?

Yes. Alexis Bouteneff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexis Bouteneff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Bouteneff reassigns Medicare benefits to 4 organizations: Guthrie Medical Group, P.C. (Sayre, PA), Sanford Clinic (Ida Grove, IA), Sanford Medical Center (Sioux Falls, SD) and Providence Medical Foundation (Apple Valley, CA). 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 Alexis Bouteneff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Bouteneff accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Alexis Bouteneff 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.

When was this NPI record last updated?

The NPPES record for Alexis Bouteneff was last updated on March 14, 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.