GREGORY W. BOUCEK DDS
NPI 1649341975
Dentist - General Practice in Memphis, TN

Q: What is Gregory Boucek's NPI number?

The NPI number for Gregory Boucek is 1649341975. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Gregory Boucek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Boucek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 10, 2006PECOS Enrolled

5382 ESTATE OFFICE DR, MEMPHIS, TN 38119(901) 767-4270 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gregory W. Boucek Dds NPPES

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

GREGORY W. BOUCEK DDS (NPI 1649341975) is an individual general practice provider in Memphis, Tennessee, licensed in Tennessee (DS4523) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649341975

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGREGORY W. BOUCEKCredential: DDS

Location Address5382 ESTATE OFFICE DRMemphis, TN 38119-3635

Mailing Address5382 Estate Office DrMemphis, TN 38119-3635 · (901) 767-4270

Phone(901) 767-4270

Sole ProprietorYes

Enumeration DateNovember 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649341975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · DS4523

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5382 ESTATE OFFICE DR, Memphis, TN 38119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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)

Gregory W. Boucek Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES

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

DR. JAMES W. BRAWNER DDS

Dentist (General Practice)

5382 ESTATE OFFICE DR
MEMPHIS, TN 38119

Shelby County (901) 767-4270

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 Gregory Boucek's NPI number?

The NPI number for Gregory Boucek is 1649341975. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Gregory Boucek located?

Gregory Boucek practices at 5382 Estate Office Dr, Memphis, TN 38119. The listed phone number is (901) 767-4270.

What is Gregory Boucek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gregory Boucek enrolled in Medicare?

Yes. Gregory Boucek is registered in the Medicare PECOS enrollment system.

What insurance does Gregory Boucek accept?

Health plans from Humana list Gregory Boucek 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 Gregory Boucek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.