Michael D. Boucher, P.A.
NPI 1386068310ActiveIndividual· Physician Assistant· Brooklyn, NY
Physician Assistant (P.A.) with Maimonides Faculty Practice Plan, practicing in Brooklyn, New York. In 2024 Medicare paid $12,936 for 160 patients, and Part D covered 252 of their prescriptions, 84% of them generic. Lists Maimonides Medical Center as a hospital affiliation. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1386068310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Feb 11, 2014 |
| Last updated in NPPES | Aug 21, 2024 |
| Certified by provider | Aug 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 026903 | NY |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in New York, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Michael Boucher · Related | 1128a1 | Jul 30, 1986 | Syracuse, NY |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| 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 - Physician Assistant (CA); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 303 across 41 procedure codes |
| Paid by Medicare | $12,936 |
Part D prescriptions in 2024
| Prescriptions (claims) | 252 · 255 30-day fills |
|---|---|
| Patients | 168 |
| Total drug cost | $13,223 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Maimonides Faculty Practice PlanBrooklyn, NY · 252 clinicians
Hospital affiliation
- Maimonides Medical CenterBrooklyn, NY
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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