DR. KATHERINE ELISABETH BOUCHARD DO
NPI 1750944708
Family Medicine in Dallas, TX

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
4161 MCKINNEY AVE STE 300, DALLAS, TX 75204(972) 817-7040 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Elisabeth Bouchard Do NPPES

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

DR. KATHERINE ELISABETH BOUCHARD DO (NPI 1750944708) is an individual family medicine provider in Dallas, Texas, licensed in Texas (S9107) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1750944708
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHERINE ELISABETH BOUCHARDCredential: DO
Location Address4161 MCKINNEY AVE STE 300Dallas, TX 75204-8233
Mailing Address4161 Mckinney Ave Ste 300Dallas, TX 75204-8233 · (972) 817-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 16, 2019
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
NPI 1750944708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · S9107 Licensed in TX · BP10067050
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.
4161 MCKINNEY AVE STE 300, Dallas, TX 75204

Secondary Practice Location 1

Location 13500 W Wheatland RdDallas, TX 75237-3460 · Phone (214) 947-5400

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

Dr. Katherine Elisabeth Bouchard Do 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 ID6507199510
PECOS Enrollment IDI20210702000243
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 3

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
38 services30 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.
38 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75204 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
4161 MCKINNEY AVE STE 300
DALLAS, TX 75204
Physician Assistant
4161 MCKINNEY AVE STE 300
DALLAS, TX 75204
Physician Assistant
4161 MCKINNEY AVE STE 300
DALLAS, TX 75204
Family Medicine
4161 MCKINNEY AVE STE 300
DALLAS, TX 75204
Physician Assistant
4161 MCKINNEY AVE STE 300
DALLAS, TX 75204
Physician Assistant (Medical)
4161 MCKINNEY AVE STE 300
DALLAS, TX 75204

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 Katherine Bouchard's NPI number?

The NPI number for Katherine Bouchard is 1750944708. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Katherine Bouchard located?

Katherine Bouchard practices at 4161 Mckinney Ave Ste 300, Dallas, TX 75204. The listed phone number is (972) 817-7040.

What is Katherine Bouchard's specialty?

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

Is Katherine Bouchard enrolled in Medicare?

Yes. Katherine Bouchard 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 Katherine Bouchard accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Katherine Bouchard 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 Katherine Bouchard affiliated with any hospitals?

According to CMS data, Katherine Bouchard is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Bouchard was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.