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DR. MICHAEL J BOUTHILLETTE MD
NPI 1578635835
Family Medicine in Victoria, TX

Active since November 14, 2006PECOS Enrolled
601 E. SAN ANTONIO STE 203 W, VICTORIA, TX 77901(361) 485-1885(361) 578-4486 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael J Bouthillette Md NPPES

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

DR. MICHAEL J BOUTHILLETTE MD (NPI 1578635835) is an individual family medicine provider in Victoria, Texas, licensed in Texas (F0897) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578635835
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL J BOUTHILLETTECredential: MD
Location Address601 E. SAN ANTONIO STE 203 WVictoria, TX 77901
Mailing AddressPo Box 8691Belfast, ME 04915-8691 · (877) 848-1463 · Fax (615) 465-3017
Phone(361) 485-1885
Fax(361) 578-4486
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 9, 2013
✔ NPI 1578635835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F0897
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.
601 E. SAN ANTONIO STE 203 W, Victoria, TX 77901
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Other Identifiers 2

Medicare UPINB21424TX
Medicare ID-Type Unspecified00KC95TX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael J Bouthillette 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Bouthillette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ucp Physicians Of Central Texas, PLLC
111 mi
Urgent Care
6001 W WILLIAM CANNON DR STE 302
Austin, TX 78749
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1154472967 (512) 288-3627

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 77901 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Michael Bouthillette's NPI number?

The NPI number for Michael Bouthillette is 1578635835. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Michael Bouthillette located?

Michael Bouthillette practices at 601 E. San Antonio Ste 203 W, Victoria, TX 77901. The listed phone number is (361) 485-1885.

What is Michael Bouthillette's specialty?

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

Is Michael Bouthillette enrolled in Medicare?

Yes. Michael Bouthillette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Bouthillette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bouthillette reassigns Medicare benefits to Ucp Physicians Of Central Texas, PLLC (Austin, TX). 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 Michael Bouthillette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Bouthillette accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Bouthillette 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 Michael Bouthillette was last updated on October 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.