Individual provider Active NPI

George Boucher, MD

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
National Provider Identifier
1992776496
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
234234 Issued in NY
Practice address
462 Grider St
Buffalo, NY 14215-3021
Phone
(716) 898-5498
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 234234 NY Primary

Addresses

Primary practice location

462 Grider St
Buffalo, NY 14215-3021

Mailing address

908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302

Other practice location 1

1780 Nicholasville Rd
Ste 501
Lexington, KY 40503-1400
Phone (859) 278-3481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050211000130 NY Practitioner - Physical Medicine and Rehabilitation 8224080817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopaedic Services Inc.Group PAC ID 7810983004, 115 clinicians

Practice addresses (Care Compare)

4949 Harlem Rd
Amherst, NY 14226-2500
Phone (716) 204-3200

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
77.6
Promoting interoperability
100
Improvement activities
40
Cost
81.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince May 1, 2016 Accepting new patients
Mercy Hospital of Buffalo CurrentSince May 1, 2016 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Jan 24, 2022 Accepting new patients
University Orthopaedic Services Inc. CurrentSince Jan 24, 2022 Accepting new patients
University Physical Medicine and Rehabilitation Associates Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

4225 Genesee St
Ste 400
Cheektowaga, NY 14225
Phone (716) 906-5905

5959 Big Tree Rd
Ste 108
Orchard Park, NY 14127
Phone (716) 810-7997

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

400 Red Creek Dr
Ste 120
Rochester, NY 14623
Phone (585) 334-5560

111 N Maplemere Rd
Ste 100
Williamsville, NY 14221
Phone (716) 810-7997

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1992776496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD STE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-5498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 Nicholasville Rd",
            "address_2": "Ste 501",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031400",
            "country_code": "US",
            "telephone_number": "859-278-3481",
            "fax_number": "859-277-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "234234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.