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T. Glen Bouder

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NPI Number Detailed Information

Provider Information:

Name: T. Glen Bouder
Gender: M
Provider License Number If Given: MD051542L

NPI Information:

NPI: 1043203318
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/23/2005

Last Update Date: 5/28/2021

Provider Business Mailing Address:

Address: 220 CAMPUS BLVD STE 100
Winchester, VA 22601
Phone Number: 5405365100
Fax Number: 5405360235

Provider Business Practice Location Address:

Address: 1840 AMHERST ST
Winchester, VA 22601
Phone Number: 5405368874
Fax Number: 5405367847

Provider Taxonomy:

Primary: 207RP1001X
Secondary (if any): 207RC0200X
State: VA

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About T. Glen Bouder

T. Glen Bouder ( T. GLEN BOUDER ) is An Internal Medicine Physician in Winchester, VA. The NPI Number for T. Glen Bouder is 1043203318.
The current location address for T. Glen Bouder is 1840 AMHERST ST Winchester, VA 22601 and the contact number is 5405365100 and fax number is 5405360235. The mailing address for T. Glen Bouder is 220 CAMPUS BLVD STE 100 Winchester, VA 22601- 5405368874 (mailing address contact number - 5405365100).
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Provider Business Location on Map

FAQs:

What is the NPI Number for T. Glen Bouder ?


Answer: The NPI Number for T. Glen Bouder is 1043203318

Where is T. Glen Bouder located?


Answer: T. Glen Bouder is located at 1840 AMHERST ST Winchester, VA 22601.

What is the specialty for T. Glen Bouder ?


Answer: The Specialty of T. Glen Bouder is An Internal Medicine Physician.

Are there any online reviews for T. Glen Bouder ?


Answer: Not yet!

Are there any other health care providers in Winchester, VA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by T. Glen Bouder

Number of HCPCS 23
Number of Medicare Beneficiaries 104
Number of Services 254
Total Submitted Charge Amount 184013.75
Total Medicare Allowed Amount 33052.48
Total Medicare Payment Amount 26275.31
Total Medicare Standardized Payment Amount 25069.59
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 23
Number of Medicare Beneficiaries With Medical 104
Number of Medical Services 254
Total Medical Submitted Charge Amount 184013.75
Total Medical Medicare Allowed Amount 33052.48
Total Medical Medicare Payment Amount 26275.31
Total Medical Medicare Standardized Payment Amount 25069.59
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 53
Number of Beneficiaries Age 75 to 84 32
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 45
Number of Male Beneficiaries 59
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 17
Number of Beneficiaries With Medicare Only Entitlement 87
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.19
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.13
Percent (%) of Beneficiaries Identified With Cancer 0.38
Percent (%) of Beneficiaries Identified With Heart Failure 0.33
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.54
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.52
Percent (%) of Beneficiaries Identified With Depression 0.34
Percent (%) of Beneficiaries Identified With Diabetes 0.45
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.57
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.13
Average HCC Risk Score of Beneficiaries 1.6641

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