IAN ANTHONY BOUCHER PA-C
NPI 1730736752
Physician Assistant in Palo Alto, CA
About Ian Anthony Boucher Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IAN ANTHONY BOUCHER PA-C (NPI 1730736752) is an individual physician assistant in Palo Alto, California, licensed in California (PA58296) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Ian Anthony Boucher 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Ian Boucher's NPI number?
The NPI number for Ian Boucher is 1730736752. It was assigned to this individual provider in the NPPES registry on August 23, 2019.
Where is Ian Boucher located?
Ian Boucher practices at 300 Pasteur Dr, Palo Alto, CA 94305. The listed phone number is (650) 724-7500.
What is Ian Boucher's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ian Boucher enrolled in Medicare?
Yes. Ian Boucher 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.
When was this NPI record last updated?
The NPPES record for Ian Boucher was last updated on September 25, 2020. 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.
# Ian Anthony Boucher, PA-C · NPI 1730736752
Physician Assistant physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since August 23, 2019.
## Identity
- **NPI:** 1730736752 (Entity type: Individual)
- **Enumerated:** August 23, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA58296 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Palo Alto, CA 94305-2200
- **Phone:** (650) 724-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730736752) · Data from the CMS NPPES public registry.