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DR. GLEN MICHAEL BOUCHARD D.O.
NPI 1790751667
Emergency Medicine in Palmer, MA

Active since February 28, 2006PECOS Enrolled
40 WRIGHT ST, PALMER, MA 01069(413) 284-5308(413) 284-5413 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Glen Michael Bouchard D.o. NPPES

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

DR. GLEN MICHAEL BOUCHARD D.O. (NPI 1790751667) is an individual emergency medicine provider in Palmer, Massachusetts, licensed in Massachusetts (78416) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790751667
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GLEN MICHAEL BOUCHARDCredential: D.O.
Location Address40 WRIGHT STPalmer, MA 01069-1138
Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1619 · (413) 794-5700
Phone(413) 284-5308
Fax(413) 284-5413
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 10, 2015
✔ NPI 1790751667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MA · 78416✔ Licensed in CT · 000446
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
40 WRIGHT ST, Palmer, MA 01069
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glen Michael Bouchard D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
169 services165 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
69 services69 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01069 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

LESLIE A DUBINSKY
Anesthesiology
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 284-5276
DR. JILL LEVIN DO, MPH
Hospitalist
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 283-8761
SACHIKO SOLT LICSW
Social Worker (Clinical)
40 WRIGHT ST, WING MEMORIAL HOSPITAL GRISWOLD CENTER
PALMER, MA 01069
Hampden County (413) 284-5285
DR. JOHN P REHEIS MD
Urology
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 284-5400
OSCAR A. MARTINEZ D.O.
Obstetrics & Gynecology
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 967-2040
DHANESH DOOKHRAN M.D.
Hospitalist
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 284-8761
DR. SCOTT A SIEGE M.D.
Pediatrics
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 967-2040
CAROL A COTE R.D.
Dietitian, Registered
40 WRIGHT ST
PALMER, MA 01069
Hampden County (413) 283-7651

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 Glen Bouchard's NPI number?

The NPI number for Glen Bouchard is 1790751667. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Glen Bouchard located?

Glen Bouchard practices at 40 Wright St, Palmer, MA 01069. The listed phone number is (413) 284-5308.

What is Glen Bouchard's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Glen Bouchard enrolled in Medicare?

Yes. Glen Bouchard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glen Bouchard was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.