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

Q: 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.

Q: What is Thaddeus Boucree's specialty?

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

Q: 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 13 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.

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: October 25, 2026.

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

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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

Phone(732) 741-0970

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Thaddeus Boucree reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vohra Wound Physicians Of Ny, PLLC

34 mi

Family Medicine

1060 AMSTERDAM AVE.
New York, NY 10025

Reassigned Medicare billing, New York enrollment
43 clinicians in this Medicare group

NPI 1447527320 (877) 866-7123

Vohra Post Acute Care Physicians Of The East, PA

1,053 mi

Family Medicine

3601 SW 160TH AVE STE 250
Miramar, FL 33027

Reassigned Medicare billing, New Jersey enrollment
14 clinicians in this Medicare group

NPI 1063848968 (877) 866-7123

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 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

196 services86 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

177 services72 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

144 services87 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

129 services18 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

112 services71 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

100 services72 patients

Removal of bone, 20.0 sq cm or less 11044

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

73 services29 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

68 services50 patients

Removal of bone, 20.0 sq cm or less 11044

48 services23 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

43 services22 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

42 services28 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

36 services24 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

34 services34 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

32 services30 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

26 services24 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

25 services13 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

25 services25 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

23 services14 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

21 services21 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

18 services18 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

15 services15 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

14 services14 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 17

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

JAE-MARIE VALERIO PA-C

Physician Assistant

535 SYCAMORE AVE
SHREWSBURY, NJ 07702

Monmouth County (732) 741-0970

DEBORAH YU

Surgery (Plastic and Reconstructive Surgery)

535 SYCAMORE AVE
SHREWSBURY, NJ 07702

Monmouth County (732) 741-0970

KATHRYN CORDERO TUMBOKON PA-C

Physician Assistant

535 SYCAMORE AVE
SHREWSBURY, NJ 07702

Monmouth County (833) 615-2618

MRS. ALEXANDRA JOAN CUMMINGS PA-C

Physician Assistant (Surgical)

535 SYCAMORE AVE
SHREWSBURY, NJ 07702

Monmouth County (908) 355-8877

LISA FRANCES SCHNEIDER M.D.

Surgery (Plastic and Reconstructive Surgery)

535 SYCAMORE AVE
SHREWSBURY, NJ 07702

Monmouth County (732) 741-0970

NICOLETTE VIGNOLA PA-C

Plastic Surgery

535 SYCAMORE AVE
SHREWSBURY, NJ 07702

Monmouth County (732) 741-0970

JOHN J VERDON JR MD PA

Psychiatry & Neurology (Addiction Psychiatry)

535 SYCAMORE AVE, REAR
SHREWSBURY, NJ 07702

Monmouth County (732) 842-9468

SYDNEY MYERS PA-C

Physician Assistant (Surgical)

535 SYCAMORE AVE
SHREWSBURY, NJ 07702

Monmouth County (732) 741-0970

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.

Which organizations bill Medicare for Thaddeus Boucree's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thaddeus Boucree reassigns Medicare benefits to 2 organizations: Vohra Wound Physicians Of Ny, PLLC (New York, NY) and Vohra Post Acute Care Physicians Of The East, PA (Miramar, FL). Each 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 Thaddeus Boucree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thaddeus Boucree accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 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 13 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.