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DR. JOHN BOULOS DPM
NPI 1790029072
Podiatrist - Foot & Ankle Surgery in East Brunswick, NJ

Active since November 26, 2012PECOS EnrolledAccepts Medicare Assignment
610 CRANBURY RD STE B, EAST BRUNSWICK, NJ 08816(732) 979-2035(732) 955-6217 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2024, Oct 11, 2016 (2 updates tracked since 2016).

About Dr. John Boulos Dpm NPPES

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

DR. JOHN BOULOS DPM (NPI 1790029072) is an individual foot & ankle surgery provider in East Brunswick, New Jersey, licensed in New Jersey (25MD00315100) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Union Beach, and is a graduate of New York College Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1790029072
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JOHN BOULOSCredential: DPM
Location Address610 CRANBURY RD STE BEast Brunswick, NJ 08816-4030
Mailing Address610 Cranbury Rd Ste BEast Brunswick, NJ 08816-4030 · (732) 979-2035 · Fax (732) 955-6217
Phone(732) 979-2035
Fax(732) 955-6217
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2010
Enumeration DateNovember 26, 2012
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1790029072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00315100
610 CRANBURY RD STE B, East Brunswick, NJ 08816
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Secondary Practice Location 1

Location 1103 Highway 36Union Beach, NJ 07735-1424 · Phone (732) 979-2035 · Fax (732) 955-6217

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Boulos Dpm 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 ID3072767896
PECOS Enrollment IDI20130430000241
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.

Medicare Billing Reassignment

Medicare enrollment records show John Boulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Foot And Ankle, Inc
0.3 mi
Foot & Ankle Surgery
579 CRANBURY RD, SUITE G
East Brunswick, NJ 08816
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1518224773 (732) 979-2035

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
564 services164 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
373 services112 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.
210 services117 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
181 services59 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
91 services80 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
61 services11 patients

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.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
80%94 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,052 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%557 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%406 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%693 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%115 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 56% · 459 patients
65%459 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%693 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 205 patients
1%205 patients4/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
75%52 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

CHRISTINE NASHED DPM
Podiatrist (Foot & Ankle Surgery)
610 CRANBURY RD STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 979-2035

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 John Boulos's NPI number?

The NPI number for John Boulos is 1790029072. It was assigned to this individual provider in the NPPES registry on November 26, 2012.

Where is John Boulos located?

John Boulos practices at 610 Cranbury Rd Ste B, East Brunswick, NJ 08816. The listed phone number is (732) 979-2035.

What is John Boulos's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Boulos enrolled in Medicare?

Yes. John Boulos 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.

Which organization bills Medicare for John Boulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Boulos reassigns Medicare benefits to United Foot And Ankle, Inc (East Brunswick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Boulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Boulos accept?

Health plans from Oscar Health list John Boulos 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.

When was this NPI record last updated?

The NPPES record for John Boulos was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.