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DR. DONALD PAUL BOUDREAUX JR. DDS
NPI 1700806775
Dentist - Oral and Maxillofacial Surgery in New Iberia, LA

Active since July 20, 2006Opted out of Medicare · through Mar 21, 2028
606 RUE DE BRILLE, NEW IBERIA, LA 70563(337) 560-0131 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald Paul Boudreaux Jr. Dds NPPES

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

DR. DONALD PAUL BOUDREAUX JR. DDS (NPI 1700806775) is an individual oral and maxillofacial surgery provider in New Iberia, Louisiana, licensed in Louisiana (5387) and active in the NPI registry since July 2006. He has opted out of Medicare through March 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700806775
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DONALD PAUL BOUDREAUX JR.Credential: DDS
Location Address606 RUE DE BRILLENew Iberia, LA 70563-2122
Mailing Address606 Rue De BrilleNew Iberia, LA 70563-2122 · (337) 560-0131
Phone(337) 560-0131
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1700806775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in LA · 5387
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
606 RUE DE BRILLE, New Iberia, LA 70563
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Donald Paul Boudreaux Jr. Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 21, 2016 through March 21, 2028.

Opt-Out Effective DateMarch 21, 2016
Opt-Out In Effect ThroughMarch 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70563 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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 Donald Boudreaux's NPI number?

The NPI number for Donald Boudreaux is 1700806775. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Donald Boudreaux located?

Donald Boudreaux practices at 606 Rue De Brille, New Iberia, LA 70563. The listed phone number is (337) 560-0131.

What is Donald Boudreaux's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Donald Boudreaux enrolled in Medicare?

No. Donald Boudreaux has opted out of Medicare through March 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Donald Boudreaux was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.