Provider Profile
Jacqueline M. Boucher-Stewart, PA-C is a physician assistant practicing in Lima, OH. According to Medicare claims data, Jacqueline cared for 619 Medicare patients across 821 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. This provider record is associated with NPI 1225329360.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1220 E ELM ST SUITE 205
Lima, OH 45804
821 services · 619 patients · 11 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Treatment | 90677 |
33 | More than most peers in Physician Assistant |
| Influenza vaccine split virus, preservative free | Treatment | 90662 |
27 | More often than most peers in Physician Assistant |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Treatment | 93000 |
12 | Less often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
244 | More often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
173 | More often than most peers in Physician Assistant |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
139 | More than most peers in Physician Assistant |
| Hemoglobin a1c level | Lab test | 83036 |
94 | More often than most peers in Physician Assistant |
| Administration of pneumococcal vaccine | Billing code | G0009 |
32 | More than most peers in Physician Assistant |
| Automated urinalysis test | Lab test | 81003 |
30 | As often as other peers in Physician Assistant |
| Administration of influenza virus vaccine | Billing code | G0008 |
24 | More often than most peers in Physician Assistant |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Jacqueline M. Boucher-Stewart is a physician assistant in Lima, OH. That is the designation recorded for this NPI in the federal registry.
NPI registry
Jacqueline M. Boucher-Stewart is listed at 1220 E Elm St Suite 205, Lima, OH 45804. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (419) 224-5437. Contact the office directly to confirm availability and scheduling.
NPI registry
Jacqueline M. Boucher-Stewart's National Provider Identifier is 1225329360. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Jacqueline M. Boucher-Stewart attended Other, graduating in 2008. This comes from the CMS National Downloadable File.
CMS public data
Jacqueline M. Boucher-Stewart has 18 years experience. Calculated from a graduation year of 2008, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Jacqueline M. Boucher-Stewart provides treatments such as pneumococcal conjugate vaccine, 20 valent , for intramuscular use and influenza vaccine split virus, preservative free, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Jacqueline M. Boucher-Stewart. If this is you, claiming it is free.
Guide.md
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