GRACE DOROTHY BOUTON PA-C
NPI 1417506684
Physician Assistant in Somerville, MA

Q: What is Grace Bouton's NPI number?

The NPI number for Grace Bouton is 1417506684. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Q: What is Grace Bouton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Bouton was last updated on December 9, 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.

Active since September 10, 2019PECOS EnrolledAccepts Medicare Assignment

401 HIGHLAND AVE, SOMERVILLE, MA 02144(888) 502-4571 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2022, Oct 28, 2022, Nov 26, 2019 and 1 more (4 updates tracked since 2019).

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About Grace Dorothy Bouton Pa-c NPPES

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

GRACE DOROTHY BOUTON PA-C (NPI 1417506684) is an individual physician assistant in Somerville, Massachusetts, licensed in Massachusetts (PA7204) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417506684

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGRACE DOROTHY BOUTONCredential: PA-C

Location Address401 HIGHLAND AVESomerville, MA 02144-2516

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600

Phone(888) 502-4571

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 10, 2019

Last NPPES UpdateDecember 9, 20224 updates tracked since enumeration

NPPES CertifiedDecember 9, 2022

✔ NPI 1417506684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MA · PA7204

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

401 HIGHLAND AVE, Somerville, MA 02144

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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 and accepts Medicare assignment

Grace Dorothy Bouton Pa-c 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 ID1254765449

PECOS Enrollment IDI20191220001869

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 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.

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

62 services25 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

56 services22 patients

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.

35 services12 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.

29 services12 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number220011

Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02144 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

JACLYN AHEARN MSW, LCSW

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