Lon A. Boutiette, MD
NPI 1174574479ActiveIndividual· Emergency Medicine· Fort Walton Beach, FL
Emergency Medicine (MD) in Fort Walton Beach, Florida, licensed in FL, with an NPI issued in May 2006. 120 Medicare patients in 2024, $13,031 paid; nearly all of their 121 Part D prescriptions were generic (95%).
Overview
| NPI | 1174574479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | May 13, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | ME51154 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 133 across 6 procedure codes |
| Paid by Medicare | $13,031 |
Part D prescriptions in 2024
| Prescriptions (claims) | 121 · 123 30-day fills |
|---|---|
| Patients | 78 |
| Total drug cost | $2,264 |
| Generic share | 95% of claims |
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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