Quick answers
- Does Billie Jo Boughter accept Medicare assignment?
- Yes. Medicare's clinician data says Billie Jo Boughter accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Billie Jo Boughter see?
- In 2024, CMS data shows 391 Original Medicare patients and 2,882 services for Billie Jo Boughter. This counts Original Medicare only and measures volume, not quality.
- What is Billie Jo Boughter's NPI number?
- 1336612472. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Billie Jo Boughter, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 391 |
|---|---|
| Services billed to Medicare | 2,882 |
| Different services or procedures | 6 |
| Participating Medicare provider | Yes |
| Average age of these patients | 79 |
Most frequent services
- Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)1,426 services
- Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)1,054 services
- Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more (99306)254 services
- Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes (99305)130 services
- Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)12 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis64%
- Depression61%
- Ischemic heart disease58%
- Anxiety57%
Practice locations
Addresses where Billie Jo Boughter is enrolled with Medicare (CMS data updated October 2, 2026).
- 225 Evergreen RdPottstown, PA 19464 (610) 323‑1800
- 500 Philadelphia AveShillington, PA 19607 (610) 777‑7841
Group practices
Medicare enrollment lists Billie Jo Boughter as a member of this group (CMS data updated October 2, 2026).
- Physiatry Consultants of NC PLLC75 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Pottstown
Clinicians with the same Medicare primary specialty in Pottstown, PA — not a recommendation.
Other clinicians in Physiatry Consultants of NC PLLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2018 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1336612472 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians