JAMES J BOUTROUS MD
NPI 1487619722
Urology in St Clair Shores, MI

Q: What is James Boutrous's NPI number?

The NPI number for James Boutrous is 1487619722. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is James Boutrous's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for James Boutrous was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 19, 2006PECOS Enrolled

97.45/100

CMS Quality Rating

20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081(586) 771-4820(586) 771-6620 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About James J Boutrous Md NPPES

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

JAMES J BOUTROUS MD (NPI 1487619722) is an individual urology provider in St Clair Shores, Michigan, licensed in Michigan (4301028307) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487619722

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJAMES J BOUTROUSCredential: MD

Location Address20952 E 12 MILE RD, SUITE 200St Clair Shores, MI 48081-3200

Mailing Address20952 E 12 Mile Rd, Suite 200St Clair Shores, MI 48081-3200 · (586) 771-4820 · Fax (586) 771-6620

Phone(586) 771-4820

Fax(586) 771-6620

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateJuly 28, 2008

✔ NPI 1487619722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 4301028307

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

20952 E 12 MILE RD, St Clair Shores, MI 48081

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Other Identifiers 8

Other2406964001MI · Cigna

Other101289MI · Priority Health

OtherA75907MI · Hap

Other4522258MI · Aetna

Medicare NSC0219690001MI

Medicare PIN0E06273002MI

Medicare UPINA75907MI

Other340017814MI · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James J Boutrous 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.

Areas of Expertise CMS Part B claims

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.

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

NATALIE SUTHERLAND

Physical Therapist

20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 498-3500

MRS. JULIANNE DOLORES MARTIN P.T.

Physical Therapist

20952 E 12 MILE RD, SUITE 110
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 498-3500

BRIAN V GUZ MD

Urology

20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081

Macomb County (586) 771-4820

ALPHONSE M SANTINO MD

Urology

20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081

Macomb County (586) 771-4820

SCOTT WILKINSON DO

Urology

20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 771-4820

KATIE HERMAN PT, CLT

Physical Therapist

20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 498-3500

DR. SCOTT I SIRCUS M.D.

Urology

20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 771-4820

DR. GEOFFREY D OSGOOD M.D.

Specialist

20952 E 12 MILE RD, SUITE 150
ST CLAIR SHORES, MI 48081

Macomb County (586) 777-6200

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 James Boutrous's NPI number?

The NPI number for James Boutrous is 1487619722. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is James Boutrous located?

James Boutrous practices at 20952 E 12 Mile Rd Suite 200, St Clair Shores, MI 48081. The listed phone number is (586) 771-4820.

What is James Boutrous's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Boutrous enrolled in Medicare?

Yes. James Boutrous is registered in the Medicare PECOS enrollment system.

What insurance does James Boutrous accept?

Health plans from McLaren Health Plan Community and Priority Health list James Boutrous 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 James Boutrous was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.