DR. SIMON SARKIS BOULATTOUF M.D.
NPI 1821383761
Family Medicine in Pottstown, PA

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
80.62/100
CMS Quality Rating
119 SHOEMAKER RD, POTTSTOWN, PA 19464(610) 427-4919(802) 225-7103 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2021, Feb 14, 2017, Feb 3, 2017 and 2 more (5 updates tracked since 2015).

About Dr. Simon Sarkis Boulattouf M.d. NPPES

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

DR. SIMON SARKIS BOULATTOUF M.D. (NPI 1821383761) is an individual family medicine provider in Pottstown, Pennsylvania, licensed in Pennsylvania (MD456444) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1821383761
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIMON SARKIS BOULATTOUFCredential: M.D.
Location Address119 SHOEMAKER RDPottstown, PA 19464-6429
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Fax(802) 225-7103
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 17, 2011
Last NPPES UpdateFebruary 15, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
NPI 1821383761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD456444 Licensed in VT · 042-0013623 Licensed in MD · D0073492 Licensed in NJ · 25MA08958000 Licensed in VA · 0101250048
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.

119 SHOEMAKER RD, Pottstown, PA 19464

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. Simon Sarkis Boulattouf M.d. 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 ID4486825411
PECOS Enrollment IDI20110922000293, I20120221000264, I20140127001217, I20151130001957, I20151201003014
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 32

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
652 services551 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.
566 services502 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
201 services201 patients
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.
166 services154 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
160 services151 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.
156 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

80.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.06
Promoting Interoperability80
Improvement Activities40
Cost63.03

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers17 claims18 services$49.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
119 SHOEMAKER RD
POTTSTOWN, PA 19464
Emergency Medicine
119 SHOEMAKER RD
POTTSTOWN, PA 19464
Non-Pharmacy Dispensing Site
119 SHOEMAKER RD
POTTSTOWN, PA 19464
Physician Assistant
119 SHOEMAKER RD
POTTSTOWN, PA 19464
Physician Assistant
119 SHOEMAKER RD
POTTSTOWN, PA 19464
Family Medicine
119 SHOEMAKER RD
POTTSTOWN, PA 19464
Family Medicine
119 SHOEMAKER RD
POTTSTOWN, PA 19464
Physician Assistant
119 SHOEMAKER RD
POTTSTOWN, PA 19464

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 Simon Boulattouf's NPI number?

The NPI number for Simon Boulattouf is 1821383761. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Simon Boulattouf located?

Simon Boulattouf practices at 119 Shoemaker Rd, Pottstown, PA 19464. The listed phone number is (610) 427-4919.

What is Simon Boulattouf's specialty?

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

Is Simon Boulattouf enrolled in Medicare?

Yes. Simon Boulattouf 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 Simon Boulattouf was last updated on February 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.