DR. JEAN-DENIS BOUCHER M.D. NPI 1205827532

NPI Information

  • NPI: 1205827532
  • Provider Name: DR. JEAN-DENIS BOUCHER, M.D.
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11101 TOEPPERWEIN RD
    LIVE OAK, TX
    ZIP 78233
  • Phone: (210) 651-3233

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NPI Details

DR. Jean-denis Boucher, M.D. is a procedural dermatology dermatology in Live Oak, TX with 48 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Jean-denis Boucher, M.D. NPI is 1205827532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11101 TOEPPERWEIN RD
LIVE OAK, TX
ZIP 78233-143
Phone: (210) 651-3233
Fax: (210) 651-3234

The NPI 1205827532 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.

  • Injection, tildrakizumab, 1 mg (HCPCS:J3245)
  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less (HCPCS:77600)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Simple radiation therapy planning (HCPCS:77261)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11312)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11307)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/4/2005 and was last updated on 4/22/2021.

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
1207NS0135XDermatologyProcedural DermatologyK8022TEXASYes

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
10043QROTHERTEXASBC/BS PROVIDER ID
24219937OTHERTEXASBC/BS BLUE LINK I.D.

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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