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DR. SUZY T BOULES M.D
NPI 1609042563
General Practice in Orlando, FL

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
87.82/100
CMS Quality Rating
1701 N MILLS AVE, ORLANDO, FL 32803(407) 204-7000(407) 204-1366 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Suzy T Boules M.d NPPES

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

DR. SUZY T BOULES M.D (NPI 1609042563) is an individual general practice provider in Orlando, Florida, licensed in Florida (ME 92072) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1609042563
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. SUZY T BOULESCredential: M.D
Location Address1701 N MILLS AVEOrlando, FL 32803-1851
Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119
Phone(407) 204-7000
Fax(407) 204-1366
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 1, 2008
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1609042563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME 92072
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1701 N MILLS AVE, Orlando, FL 32803
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Other Identifiers 2

OtherME92072FL · Professional License Number
Other1609042563FL · Npi Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

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

Dr. Suzy T Boules M.d 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 ID5294877254
PECOS Enrollment IDI20100128000858
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.

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.
74 services30 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.
72 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
67 services36 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
13 services11 patients

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.

87.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.3
Promoting Interoperability100
Improvement Activities40
Cost66.48

Other Providers at the Same Location NPPES 3

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

JEAN-YVES MULLER RPH
Pharmacist
1701 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 770-0507
MR. JOSE FRANCISCO PEREIRA NP
Nurse Practitioner (Family)
1701 N MILLS AVE
ORLANDO, FL 32803
Orange County (407) 204-7000
AIDS HEALTHCARE FOUNDATION
Family Medicine
1701 N MILLS AVE, #2
ORLANDO, FL 32803
Orange County (407) 625-8434

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 Suzy Boules's NPI number?

The NPI number for Suzy Boules is 1609042563. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Suzy Boules located?

Suzy Boules practices at 1701 N Mills Ave, Orlando, FL 32803. The listed phone number is (407) 204-7000.

What is Suzy Boules's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Suzy Boules enrolled in Medicare?

Yes. Suzy Boules is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Suzy Boules accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Suzy Boules 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 Suzy Boules was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.