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MR. BRADLEY SCOTT BOUTCHER PA-C
NPI 1730840729
Physician Assistant in Jacksonville, FL

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
84.3/100
CMS Quality Rating
836 PRUDENTIAL DRIVE, STE 1804, JACKSONVILLE, FL 32207(904) 398-3888(904) 400-6675 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Oct 2, 2023, Jan 4, 2023 and 1 more (4 updates tracked since 2022).

About Mr. Bradley Scott Boutcher Pa-c NPPES

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

MR. BRADLEY SCOTT BOUTCHER PA-C (NPI 1730840729) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (9115278) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730840729
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRADLEY SCOTT BOUTCHERCredential: PA-C
Location Address836 PRUDENTIAL DRIVE, STE 1804Jacksonville, FL 32207-8345
Mailing Address836 Prudential Drive, Ste 1804Jacksonville, FL 32207-8345 · (904) 398-3888 · Fax (904) 400-6675
Phone(904) 398-3888
Fax(904) 400-6675
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 3, 2022
Last NPPES UpdateMarch 31, 20254 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1730840729 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 · 9115278
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.
836 PRUDENTIAL DRIVE, Jacksonville, FL 32207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Mr. Bradley Scott Boutcher 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 ID6608260732
PECOS Enrollment IDI20220305000171
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 5

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
64 services64 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
25 services25 patients
Coronary artery bypass using vein or artery graft, 1 graft 33517
A coronary artery bypass is a surgical procedure that improves blood flow to the heart. A vein or artery from another part of your body is used to create a new route for blood to bypass a blocked coronary artery. This helps relieve chest pain and reduce heart attack risk.
22 services22 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
22 services22 patients
Coronary artery bypass using vein or artery graft, 3 grafts 33519
A coronary artery bypass with 3 grafts is a surgery to improve blood flow to the heart. Veins or arteries from other parts of your body are used to bypass blocked coronary arteries. This helps to restore normal blood flow to the heart, reducing the risk of heart disease.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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.

84.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.68
Promoting Interoperability100
Improvement Activities40
Cost60.99

Other Providers at the Same Location NPPES 9

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

DR. PAUL P MARAJ M.D.
Internal Medicine (Nephrology)
836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG
JACKSONVILLE, FL 32207
Duval County (904) 389-1111
DR. ANDREEA POENARIU M.D.
Internal Medicine (Nephrology)
836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG
JACKSONVILLE, FL 32207
Duval County (904) 398-1111
NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DRIVE, SUITE 902
JACKSONVILLE, FL 32207
Duval County (904) 281-9887
FLORIDA PHYSICIAN SPECIALISTS LLC
Urology
836 PRUDENTIAL DRIVE, SUITE 1606
JACKSONVILLE, FL 32207
Duval County (904) 396-3700
MS. SARA DIANNE MOHR ARNP
Nurse Practitioner (Family)
836 PRUDENTIAL DRIVE, SUITE 1800
JACKSONVILLE, FL 32207
Duval County (904) 398-7684
DR. CRAIG J SHAPIRO M.D.
Internal Medicine (Nephrology)
836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG
JACKSONVILLE, FL 32207
Duval County (904) 398-1111
DR. EUGENE WILLIAM GNIDA MD
Internal Medicine
836 PRUDENTIAL DRIVE, SUITE 1400
JACKSONVILLE, FL 32207
Duval County (904) 348-0974
STACIE WARD COOK M.D.
Obstetrics & Gynecology
836 PRUDENTIAL DRIVE, SUITE 1103
JACKSONVILLE, FL 32207
Duval County (904) 398-9499

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 Bradley Boutcher's NPI number?

The NPI number for Bradley Boutcher is 1730840729. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Bradley Boutcher located?

Bradley Boutcher practices at 836 Prudential Drive Ste 1804, Jacksonville, FL 32207. The listed phone number is (904) 398-3888.

What is Bradley Boutcher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bradley Boutcher enrolled in Medicare?

Yes. Bradley Boutcher 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 Bradley Boutcher accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Bradley Boutcher 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 Bradley Boutcher affiliated with any hospitals?

According to CMS data, Bradley Boutcher is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Bradley Boutcher was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.