Individual provider Active NPI

Joseph Peter Bouvier Jr., M.D.

  • Ophthalmology Physician
  • Springfield, MA
National Provider Identifier
1295744720
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
226532 Issued in MA
Practice address
275 Bicentennial Hwy Ste 101
Springfield, MA 01118-1965
Phone
(413) 783-3100
Fax
(413) 782-7998
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 226532 MA Primary

Addresses

Primary practice location

275 Bicentennial Hwy Ste 101
Springfield, MA 01118-1965

Mailing address

275 Bicentennial Hwy Ste 101
Springfield, MA 01118-1965
Phone (413) 783-3100

Other practice location 1

809 Williams St
Longmeadow, MA 01106-2060
Phone (413) 754-3808

Other identifiers 10

IdentifierTypeStateIssuer
226532OtherMACONNECTICARE
1134436OtherMAAETNA
J29677OtherMABLUE CROSS BLUE SHIELD
MB6436OtherMABMC HEALTHNET
110042142MedicaidMA
TUFTSOtherMA494426
128529OtherMAFALLON
AA347095OtherMAHARVARD PILGRIM HEALTH CARE
MA3541OtherMAEYEMED
226532OtherMAMASSACHUSETTS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025000182 MA Practitioner - Ophthalmology 3779516513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew S Jusko MD PCGroup PAC ID 7315031051, 5 clinicians

Practice addresses (Care Compare)

299 Carew St
Suite 201
Springfield, MA 01104-2360
Phone (413) 736-1833

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Merit-based Incentive Payment System (MIPS)

Final score
23.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.43

Merit-based Incentive Payment System (MIPS)

Final score
91.3 of 100Reported as group
Quality
95.82
Improvement activities
40
Cost
76.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226532MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew S Jusko MD PC Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Cornea Consultants of Albany,PLLC Ophthalmology Past Accepting new patients
Mwa, PC Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

382 N Main St
Ste 101
East Longmeadow, MA 01028
Phone (413) 525-8601

299 Carew St
Ste 201
Springfield, MA 01104
Phone (413) 732-4589

Interoperability endpoints

  • Direct secure messaging: jpbouvier@eyesightsurgeryassoc.direct.eyemdemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1295744720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181965",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181965",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Williams St",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011062060",
            "country_code": "US",
            "telephone_number": "413-754-3808",
            "fax_number": "413-754-3809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUVIER",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "226532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "226532",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1134436",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J29677",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "MB6436",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110042142",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "494426",
            "identifier": "TUFTS",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "128529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "AA347095",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA3541",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS LICENSE",
            "identifier": "226532",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.