DR. CHESTER GREGORY BOUDREAUX MD NPI 1073502472

NPI Information

  • NPI: 1073502472
  • Provider Name: DR. CHESTER GREGORY BOUDREAUX, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 142 RUE MARGUERITE
    THIBODAUX, LA
    ZIP 70301
  • Phone: (985) 446-2131

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NPI Details

DR. Chester Gregory Boudreaux, MD is a general practice in Thibodaux, LA with 32 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Chester Gregory Boudreaux, MD NPI is 1073502472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1994

The provider's business location address is:

142 RUE MARGUERITE
THIBODAUX, LA
ZIP 70301-738
Phone: (985) 446-2131
Fax: (985) 447-3383

The NPI 1073502472 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Urinalysis, manual test (HCPCS:81002)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Removal of impacted ear wax (HCPCS:69210)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Administration of vaccine (HCPCS:90471)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Limited ultrasound scan of abdomen (HCPCS:76705)

The enumeration date for this NPI number is 10/18/2005 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice022212LOUISIANAYes
2207R00000XInternal MedicineMD.022212LOUISIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11493783MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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