Jason Peter Boulware, D.O.
NPI 1013211168ActiveIndividual· Emergency Medicine· Bronx, NY
Emergency Medicine (D.O.) with Affinity Physicians LLC. and 1 other group, practicing in Bronx, New York. 1,153 Medicare patients in 2024, $136,481 paid; nearly all of their 574 Part D prescriptions were generic (94%). Lists Kent County Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1013211168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jan 4, 2011 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 259532-1 | NY |
| Emergency Medicine | 207P00000X | 25MB09297500 | NJ |
| Emergency Medicine | 207P00000X | DO00706 | RI |
| Emergency Medicine | 207P00000X | 286222 | MA |
| Emergency Medicine | 207P00000X | 24237 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA); Practitioner - Emergency Medicine (MA); Practitioner - Emergency Medicine (NJ); Practitioner - Emergency Medicine (NY); Practitioner - Emergency Medicine (OH); Practitioner - Emergency Medicine (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,153 |
|---|---|
| Services billed | 1,587 across 37 procedure codes |
| Paid by Medicare | $136,481 |
Part D prescriptions in 2024
| Prescriptions (claims) | 574 · 617 30-day fills |
|---|---|
| Patients | 370 |
| Total drug cost | $9,109 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Emergency Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Affinity Physicians LLC.Warwick, RI · 730 clinicians
- Stationmd Professional CorporationStaatsburg, NY · 65 clinicians
Hospital affiliations
- Kent County Memorial HospitalWarwick, RI
- Southcoast Hospitals GroupFall River, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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