Joseph Robert Boulter, DMD
NPI 1053381632ActiveIndividual· Dentist, General Practice· Jacksonville, FL
Opted out of Medicare from April 2015 to April 2027. Dentist, General Practice (DMD) in Jacksonville, Florida, licensed in FL and NC, with an NPI issued in January 2006. Part D covered 109 prescriptions written in 2024, 85% of them generic. Align Technology, Inc. reported $16.15 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1053381632 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jan 25, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 10715 | FL |
| Dentist, General Practice | 1223G0001X | 5542 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 21, 2015 – Apr 21, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 109 · 115 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $665.36 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2025$16.15 · 1 payment from 1 company
- 2024$223.00 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Align Technology, Inc. | $16.15 | 1 |
What the 2025 payments were for
- Food and Beverage$16.15 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general dentists in Jacksonville
- 1023154259
- 1033255237
- 1043349335
- 1053475863
- 1063904449
- 1063907400
- 1073199634
- 1073624052
- 1083397384
- 1104992163
- 1114939071
- 1134137185
All 479 general dentists in Jacksonville · All general dentists in Florida