DR. MOLLY O'BRIEN-BOUCHARD MD
NPI 1558056721
Family Medicine in East Syracuse, NY

Q: What is Molly O'brien-bouchard's NPI number?

The NPI number for Molly O'brien-bouchard is 1558056721. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Molly O'brien-bouchard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 05, 2023PECOS Enrolled

4939 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057(315) 463-1600 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Apr 5, 2023 (2 updates tracked since 2023).

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About Dr. Molly O'brien-bouchard Md NPPES

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

DR. MOLLY O'BRIEN-BOUCHARD MD (NPI 1558056721) is an individual family medicine provider in East Syracuse, New York, licensed in New York (344090) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2023).

NPPES Registry Identity

NPI1558056721

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MOLLY O'BRIEN-BOUCHARDCredential: MD

Location Address4939 BRITTONFIELD PKWYEast Syracuse, NY 13057-9208

Mailing Address4939 Brittonfield PkwyEast Syracuse, NY 13057-9208

Phone(315) 463-1600

Sole ProprietorYes

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2023

Enumeration DateApril 5, 2023

Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1558056721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 344090

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4939 BRITTONFIELD PKWY, East Syracuse, NY 13057

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Molly O'brien-bouchard Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557828696

PECOS Enrollment IDI20260807002781

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 Reassignment

Medicare enrollment records show Molly O'brien-bouchard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cny Family Care, LLP

Same address

Family Medicine

4939 BRITTONFIELD PKWY
East Syracuse, NY 13057

Reassigned Medicare billing, New York enrollment
30 clinicians in this Medicare group

NPI 1881643823 (315) 463-1600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 20

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

MARTHA G. ALIWALAS M.D.

Family Medicine

4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

MR. MATTHEW WILLIAM EDDY MSPT

Specialist

4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 234-7322

RACHAEL LOUISE CAVELLI NP

Nurse Practitioner

4939 BRITTONFIELD PKWY, CNY FAMILY CARE
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

MICHAEL J PICCIANO M.D.

Family Medicine

4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

PETER J CHRISTIANO M.D.

Family Medicine

4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

DR. MAI-ANH DOAN MD

Obstetrics & Gynecology

4939 BRITTONFIELD PKWY, SUITE 211, BLDG. B
EAST SYRACUSE, NY 13057

Onondaga County (315) 446-4400

MICHAEL FIACCO MD

Family Medicine

4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

LOUIS BONAVITA JR. M.D.

Family Medicine

4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

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 Molly O'brien-bouchard's NPI number?

The NPI number for Molly O'brien-bouchard is 1558056721. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Molly O'brien-bouchard located?

Molly O'brien-bouchard practices at 4939 Brittonfield Pkwy, East Syracuse, NY 13057. The listed phone number is (315) 463-1600.

What is Molly O'brien-bouchard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Molly O'brien-bouchard enrolled in Medicare?

Yes. Molly O'brien-bouchard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Molly O'brien-bouchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly O'brien-bouchard reassigns Medicare benefits to Cny Family Care, LLP (East Syracuse, NY). The 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 Molly O'brien-bouchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Molly O'brien-bouchard was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.