Emily Brooke Boucher, PA-C
NPI 1255933263ActiveIndividual· Physician Assistant· Kettering, OH
Physician Assistant (PA-C) with Kettering Independent Medical Group Inc, practicing in Kettering, Ohio. Their prescriptions cost Medicare Part D more than their services did: $37,978 for 234 claims, against $11,468 paid for services in 2024. Medtronic, Inc. reported $94.17 in payments in 2025, mostly food and beverage. Lists Kettering Health Dayton and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1255933263 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Nov 13, 2020 |
| Last updated in NPPES | Mar 8, 2021 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.006744RX | — |
| Physician Assistant | 363A00000X | 1160683 | OH |
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 - Physician Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 213 across 20 procedure codes |
| Paid by Medicare | $11,468 |
Part D prescriptions in 2024
| Prescriptions (claims) | 234 · 477 30-day fills |
|---|---|
| Patients | 94 |
| Total drug cost | $37,978 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Kettering Independent Medical Group IncXenia, OH · 710 clinicians
Hospital affiliations
- Kettering Health DaytonDayton, OH
- Kettering Health Greene MemorialXenia, OH
- Kettering Health Main CampusKettering, OH
- Kettering Health MiamisburgMiamisburg, OH
- Soin Medical CenterBeaver Creek, OH
Industry payments (Open Payments)
- 2025$94.17 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $94.17 | 1 |
What the 2025 payments were for
- Food and Beverage$94.17 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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