DR. BRICE T. BOUGHNER MD
NPI 1669428603
Radiology - Diagnostic Radiology in Columbia, TN

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
1224 TROTWOOD AVE, COLUMBIA, TN 38401(931) 381-1111(931) 552-6663 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2021, Jul 20, 2021, Jan 26, 2016 (3 updates tracked since 2016).

About Dr. Brice T. Boughner Md NPPES

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

DR. BRICE T. BOUGHNER MD (NPI 1669428603) is an individual diagnostic radiology provider in Columbia, Tennessee, licensed in Tennessee (44452) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and maintains a secondary practice location in Spring Hill.

NPPES Registry Identity

NPI1669428603
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BRICE T. BOUGHNERCredential: MD
Location Address1224 TROTWOOD AVEColumbia, TN 38401-4802
Mailing AddressPo Box 3239Indianapolis, IN 46206-3239 · (844) 295-4871
Fax(931) 552-6663
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1998
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
NPI 1669428603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TN · 44452 Licensed in MS · 18552
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1224 TROTWOOD AVE, Columbia, TN 38401

Secondary Practice Location 1

Location 15421 Main StSpring Hill, TN 37174-4410 · Phone (615) 577-4057

Other Identifiers 2

Medicaid30027211TN
OtherP00687770TN · Railroad Medicare

Accepted 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. Brice T. Boughner Md 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 ID4981505013
PECOS Enrollment IDI20090312000460
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 65

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
2,805 services40 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
312 services284 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
166 services163 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
134 services134 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
128 services123 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
107 services105 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441309
Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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.

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.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
1%84 patients
Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients
Percentage of final reports for computed tomography (CT), CT angiography (CTA) or magnetic resonance imaging (MRI) or magnetic resonance angiogram (MRA) studies of the chest or neck for patients aged 18 years and older with no known thyroid disease with a…
Lower rates are better for this measure.
0%27 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%891 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%105 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%52 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pharmacist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Physician Assistant
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Pediatrics
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Physical Therapist
1224 TROTWOOD AVE
COLUMBIA, TN 38401

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 Brice Boughner's NPI number?

The NPI number for Brice Boughner is 1669428603. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Brice Boughner located?

Brice Boughner practices at 1224 Trotwood Ave, Columbia, TN 38401. The listed phone number is (931) 381-1111.

What is Brice Boughner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Brice Boughner enrolled in Medicare?

Yes. Brice Boughner 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 Brice Boughner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Brice Boughner 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.

Is Brice Boughner affiliated with any hospitals?

According to CMS data, Brice Boughner is affiliated with Maury Regional Hospital and Marshall Medical Center.

When was this NPI record last updated?

The NPPES record for Brice Boughner was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.