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Matthew Bouteiller, PA-C

NPI 1912098591ActiveIndividual· Physician Assistant· Lebanon, NH

Physician Assistant (PA-C) in Lebanon, New Hampshire, licensed in NH and MA, with an NPI issued in September 2006. Their prescriptions cost Medicare Part D more than their services did: $2,349 for 141 claims, against $1,564 paid for services in 2024.

Overview

NPI1912098591
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 27, 2006
Last updated in NPPESJan 30, 2026
Certified by providerJan 30, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X3590NH
Physician Assistant363A00000XAP2108MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NH); Practitioner - Physician Assistant (VT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients20
Services billed25 across 13 procedure codes
Paid by Medicare$1,564

Part D prescriptions in 2024

Prescriptions (claims)141 · 143 30-day fills
Patients98
Total drug cost$2,349
Generic share93% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Lebanon

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