SPENCER BLAKE BOUTON PA-C
NPI 1699240465
Physician Assistant in Sarasota, FL

Active since October 09, 2018PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
1540 S TAMIAMI TRL STE 303, SARASOTA, FL 34239(941) 917-8791(941) 917-8793 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2019, Oct 9, 2018 (2 updates tracked since 2018).

About Spencer Blake Bouton Pa-c NPPES

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

SPENCER BLAKE BOUTON PA-C (NPI 1699240465) is an individual physician assistant in Sarasota, Florida, licensed in Florida (9111708) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699240465
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSPENCER BLAKE BOUTONCredential: PA-C
Location Address1540 S TAMIAMI TRL STE 303Sarasota, FL 34239-2921
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Fax(941) 917-8793
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 9, 2018
Last NPPES UpdateMarch 4, 20192 updates tracked since enumeration
NPI 1699240465 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 FL · 9111708
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.

1540 S TAMIAMI TRL STE 303, Sarasota, FL 34239

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

Spencer Blake Bouton Pa-c 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 ID6709126428
PECOS Enrollment IDI20190315002147
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.
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

Other Providers at the Same Location NPPES 10

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

Registered Nurse (Registered Nurse First Assistant)
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239
Physician Assistant (Medical)
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239
Nurse Practitioner
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239
Physician Assistant
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239
Physician Assistant
1540 S TAMIAMI TRL STE 303
SARASOTA, FL 34239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699240465, enumerated as an "individual" on October 09, 2018.

The provider is located at 1540 S TAMIAMI TRL STE 303 SARASOTA, FL 34239 and the phone number is (941) 917-8791.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.