DR. ADEL BOUTROS MD
NPI 1700952827
Family Medicine in Lake Forest, CA

Q: What is Adel Boutros's NPI number?

The NPI number for Adel Boutros is 1700952827. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Adel Boutros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Adel Boutros was last updated on July 9, 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 28, 2006Accepts Medicare AssignmentCLIA 05D0897771 · Waiver

4.76/100

CMS Quality Rating

22611 LAKE FOREST DR, LAKE FOREST, CA 92630(949) 951-9399(949) 951-9403 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Adel Boutros Md NPPES

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

DR. ADEL BOUTROS MD (NPI 1700952827) is an individual family medicine provider in Lake Forest, California, licensed in California (A47792) and active in the NPI registry since November 2006. He holds a CLIA Waiver certificate valid through February 2, 2027 and is a graduate of Other (1980).

NPPES Registry Identity

NPI1700952827

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ADEL BOUTROSCredential: MD

Location Address22611 LAKE FOREST DRLake Forest, CA 92630-1700

Mailing AddressPo Box 8095Fountain Valley, CA 92728-8095 · (949) 951-9399 · Fax (949) 951-9403

Phone(949) 951-9399

Fax(949) 951-9403

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateNovember 28, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1700952827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A47792

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

22611 LAKE FOREST DR, Lake Forest, CA 92630

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedA47792ACA · Medicare Number

Medicare UPINE92511CA

Medicaid00A477921CA

OtherA47792CA · State License

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. Adel Boutros 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 ID6305805623

PECOS Enrollment IDI20041004000495

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0897771

Adel A Boutros, MD · Lake Forest, CA

Active · expires Feb 2, 2027

CLIA Number05D0897771

Laboratory TypePhysician Office

Certificate Effective DateFebruary 3, 2025

Certificate Expiration DateFebruary 2, 2027

Laboratory DirectorAdel A. Boutros

Laboratory Phone(949) 951-9399

Laboratory LocationAdel A Boutros, MD24432 Muirlands Blvd, Ste 101, Lake Forest, CA 92630

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,362 services163 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

1,101 services363 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

685 services153 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

196 services150 patients

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.

164 services68 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

128 services108 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

114 services99 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

101 services84 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

99 services14 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes 99422

This is a digital health service for existing patients. Over a week, your healthcare provider will assess and manage your health concerns online. The total time spent communicating will be between 11-20 minutes. This service offers convenience and continuous care.

99 services79 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.

28 services24 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92630 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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.

4.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

15.87

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

18 suppliers88 claims263 services$5.69 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers20 claims20 services$2.79 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

5 suppliers14 claims14 services$1.63 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers65 claims106 services$0.92 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

5 suppliers59 claims1,653 services$4.28 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

4 suppliers30 claims14,584 services$0.27 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers26 claims13,734 services$0.52 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

4 suppliers43 claims43 services$51.88 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

9 suppliers24 claims24 services$27.80 avg. paid by Medicare

Seat attachment, walker E0156

DME-Other DME · category DE000N

6 suppliers19 claims19 services$10.58 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers24 claims24 services$33.54 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers60 claims62 services$14.15 avg. paid by Medicare

Home blood glucose monitor E0607

DME-Other DME · category DE017N

6 suppliers11 claims11 services$22.91 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

4 suppliers49 claims49 services$4.95 avg. paid by Medicare

Manual wheelchair accessory, wheel lock brake extension (handle), each E0961

DME-Wheelchairs · category DD021N

5 suppliers21 claims42 services$20.55 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

6 suppliers23 claims46 services$29.35 avg. paid by Medicare

Wheelchair accessory, elevating leg rest, complete assembly, each E0990

DME-Wheelchairs · category DD021N

4 suppliers17 claims34 services$65.36 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

2 suppliers62 claims62 services$7.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers84 claims86 services$58.43 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$29.67 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

6 suppliers11 claims11 services$28.14 avg. paid by Medicare

General use wheelchair seat cushion, width 22 inches or greater, any depth E2602

DME-Wheelchairs · category DD021N

2 suppliers15 claims15 services$75.30 avg. paid by Medicare

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611

DME-Wheelchairs · category DD021N

6 suppliers23 claims23 services$140.10 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

4 suppliers42 claims42 services$9.86 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

4 suppliers41 claims41 services$22.68 avg. paid by Medicare

Ultralightweight wheelchair K0005

DME-Wheelchairs · category DD000N

4 suppliers18 claims18 services$1,732.36 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers15 claims15 services$175.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

MOULTON FAMILY MEDICINE

Non-Pharmacy Dispensing Site

22611 LAKE FOREST DR, C-4
LAKE FOREST, CA 92630

Orange County (949) 951-9399

PARK DENTAL GROUP INC

Clinic/Center (Dental)

22611 LAKE FOREST DR
LAKE FOREST, CA 92630

Orange County (909) 543-5075

FARHAD KIANI DDS A PROFESSIONAL CORPORATION

Dentist

22611 LAKE FOREST DR, SUITE C-5
LAKE FOREST, CA 92630

Orange County (949) 777-6688

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 Adel Boutros's NPI number?

The NPI number for Adel Boutros is 1700952827. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Adel Boutros located?

Adel Boutros practices at 22611 Lake Forest Dr, Lake Forest, CA 92630. The listed phone number is (949) 951-9399.

What is Adel Boutros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adel Boutros enrolled in Medicare?

Yes. Adel Boutros 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.

Does Adel Boutros hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0897771) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adel Boutros was last updated on July 9, 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.

About Dr. Adel Boutros Md NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 4

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 05D0897771

Areas of Expertise CMS Part B claims 12

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 27

Other Providers at the Same Location NPPES 3

Frequently Asked Questions NPPES & CMS

What is Adel Boutros's NPI number?

Where is Adel Boutros located?

What is Adel Boutros's specialty?

Is Adel Boutros enrolled in Medicare?

Does Adel Boutros hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 05D0897771