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TAMARA SOLANGE BOUCHER PA-C
NPI 1578728275
Physician Assistant in Philadelphia, PA

Active since July 22, 2008PECOS Enrolled
3509 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-8484(215) 707-3946 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 16, 2017 (2 updates tracked since 2017).

About Tamara Solange Boucher Pa-c NPPES

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

TAMARA SOLANGE BOUCHER PA-C (NPI 1578728275) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052120) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578728275
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAMARA SOLANGE BOUCHERCredential: PA-C
Location Address3509 N BROAD STPhiladelphia, PA 19140-4105
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-8484 · Fax (215) 707-3946
Phone(215) 707-8484
Fax(215) 707-3946
Sole ProprietorNo
Enumeration DateJuly 22, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1578728275 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 PA · MA052120
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.
3509 N BROAD ST, Philadelphia, PA 19140
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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)

Tamara Solange Boucher Pa-c 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
5 suppliers163 claims56,250 services$1.19 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
14 suppliers238 claims22,185 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers21 claims2,870 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims4,920 services$0.56 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers172 claims32,460 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers49 claims9,060 services$0.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KEWAL KRISHAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8484
KURT KUNZ M.D.
Internal Medicine
3509 N BROAD ST, SUITE 226
PHILADELPHIA, PA 19140
Philadelphia County (267) 512-4313
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Psychiatry & Neurology (Neurology)
3509 N BROAD ST, FL 6 EAST TUCMC
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-6613
ROSHANI NARENDRAKUMAR PATEL PA-C
Physician Assistant
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8484
DR. CHRISTOPHER WILLIAM AHMED MD
Ophthalmology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (800) 836-7536
RICHARD TIM LACHMAN MD
Psychiatry & Neurology (Neurology)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3040
TEMPLE FACULTY PRACTICE PLAN, INC
Otolaryngology
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3663
EROS M LEOTTA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3509 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8484

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 Tamara Boucher's NPI number?

The NPI number for Tamara Boucher is 1578728275. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Tamara Boucher located?

Tamara Boucher practices at 3509 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-8484.

What is Tamara Boucher's specialty?

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

Is Tamara Boucher enrolled in Medicare?

Yes. Tamara Boucher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Boucher was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.