Individual provider Active NPI

Pier Boutin, MD

  • Orthopaedic Surgery Physician
  • GT Barrington, MA
National Provider Identifier
1811948490
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
216742 Issued in MA
Practice address
27 Lewis Ave
Orthopedics and Sports Medicine of Fairview Hospital
GT Barrington, MA 01230-2717
Phone
(413) 854-9753
Fax
(413) 854-9732
NPI assigned
May 16, 2006
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 216742 MA Primary

Addresses

Primary practice location

27 Lewis Ave
Orthopedics and Sports Medicine of Fairview Hospital
GT Barrington, MA 01230-2717

Mailing address

725 North St
Pittsfield, MA 01201-4109
Phone (413) 447-2752

Other identifiers 1

IdentifierTypeStateIssuer
2029642OtherMAMASS HEALTH NUMBER

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
I20040123000136 MA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8022910744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

29 Lewis Ave
Great Barrington, MA 01230-1713
Phone (413) 854-9777

780 Main St
Great Barrington, MA 01230-2148
Phone (413) 528-8290

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Jul 1, 2013 Accepting new patients
Fairview Hospital CurrentSince Sep 21, 2020 Accepting new patients
Fairview Hospital CurrentSince Jul 1, 2013 Accepting new patients
Fairview Hospital CurrentSince Sep 21, 2020 Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: pierboutin@bfs.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1811948490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2752",
            "fax_number": "413-496-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LEWIS AVE",
            "address_2": "ORTHOPEDICS AND SPORTS MEDICINE OF FAIRVIEW HOSPITAL",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "012302717",
            "telephone_number": "413-854-9753",
            "fax_number": "413-854-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTIN",
        "first_name": "PIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "216742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH NUMBER",
            "identifier": "2029642",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in GT Barrington, MA

Sources for this page

Verify at the official NPI Registry.