THADDEUS STANICE BOUCREE M.D., DDS
NPI 1942464417
Plastic Surgery in Shrewsbury, NJ

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
535 SYCAMORE AVE, SHREWSBURY, NJ 07702(732) 741-0970(732) 747-2606 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Sep 12, 2025, Aug 15, 2017 (3 updates tracked since 2017).

About Thaddeus Stanice Boucree M.d., Dds NPPES

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

THADDEUS STANICE BOUCREE M.D., DDS (NPI 1942464417) is an individual plastic surgery provider in Shrewsbury, New Jersey, licensed in New Jersey (25MA10083000) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2007).

NPPES Registry Identity

NPI1942464417
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameTHADDEUS STANICE BOUCREECredential: M.D., DDS
Location Address535 SYCAMORE AVEShrewsbury, NJ 07702
Mailing Address535 Sycamore AveShrewsbury, NJ 07702-4224 · (732) 741-0970 · Fax (732) 747-2606
Fax(732) 747-2606
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2007
Enumeration DateJuly 15, 2008
Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1942464417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses Licensed in NJ · 25MA10083000 Licensed in NY · 301972
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 25MA10083000 (NJ)
535 SYCAMORE AVE, Shrewsbury, NJ 07702

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

Thaddeus Stanice Boucree M.d., Dds 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 ID3072749076
PECOS Enrollment IDI20240307002006
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 27

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 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.
452 services127 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
386 services107 patients
Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
329 services84 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
310 services130 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
246 services83 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.
196 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07702 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Other Providers at the Same Location NPPES 18

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

Physician Assistant
535 SYCAMORE AVE
SHREWSBURY, NJ 07702
Surgery (Plastic and Reconstructive Surgery)
535 SYCAMORE AVE
SHREWSBURY, NJ 07702
Physician Assistant (Surgical)
535 SYCAMORE AVE
SHREWSBURY, NJ 07702
Physician Assistant
535 SYCAMORE AVE
SHREWSBURY, NJ 07702
Physician Assistant (Surgical)
535 SYCAMORE AVE
SHREWSBURY, NJ 07702
Surgery (Plastic and Reconstructive Surgery)
535 SYCAMORE AVE
SHREWSBURY, NJ 07702
Plastic Surgery
535 SYCAMORE AVE
SHREWSBURY, NJ 07702
Psychiatry & Neurology (Addiction Psychiatry)
535 SYCAMORE AVE, REAR
SHREWSBURY, NJ 07702

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 Thaddeus Boucree's NPI number?

The NPI number for Thaddeus Boucree is 1942464417. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Thaddeus Boucree located?

Thaddeus Boucree practices at 535 Sycamore Ave, Shrewsbury, NJ 07702. The listed phone number is (732) 741-0970.

What is Thaddeus Boucree's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Thaddeus Boucree enrolled in Medicare?

Yes. Thaddeus Boucree 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 Thaddeus Boucree accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Thaddeus Boucree 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 Thaddeus Boucree was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.