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DR. TONY BOUALOY MD
NPI 1346980158
Surgery in Pickerington, OH

Active since March 30, 2022PECOS Enrolled
12913 ARABIAN CT, PICKERINGTON, OH 43147(614) 753-6324 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Jul 6, 2022 (2 updates tracked since 2022).

About Dr. Tony Boualoy Md NPPES

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

DR. TONY BOUALOY MD (NPI 1346980158) is an individual surgery provider in Pickerington, Ohio, licensed in Indiana (11022498A) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346980158
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. TONY BOUALOYCredential: MD
Location Address12913 ARABIAN CTPickerington, OH 43147-8112
Mailing Address118 W Columbia StFort Wayne, IN 46802-1725 · (614) 753-6324
Phone(614) 753-6324
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1346980158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 11022498A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12913 ARABIAN CT, Pickerington, OH 43147
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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)

Dr. Tony Boualoy Md 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 43147 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Tony Boualoy's NPI number?

The NPI number for Tony Boualoy is 1346980158. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Tony Boualoy located?

Tony Boualoy practices at 12913 Arabian Ct, Pickerington, OH 43147. The listed phone number is (614) 753-6324.

What is Tony Boualoy's specialty?

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

Is Tony Boualoy enrolled in Medicare?

Yes. Tony Boualoy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tony Boualoy was last updated on March 28, 2023. 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.