Jay Boughanem, MD
NPI 1518115948 · Orthopaedic Surgery Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Boughanem, MD is a Orthopaedic Surgery Physician provider in Chicago, IL (NPI 1518115948).
Provider details
- NPI number
- 1518115948
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 73259-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
585 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 163 | $127 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 146 | $183 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 41 | $157 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 41 | $226 |
| Anchoring of Biceps Tendon23430 | 32 | $356 |
| Repair of Shoulder Rotator Cuff Using an Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Naproxen | 125 | 113 |
| Oxycodone Hcl | 121 | 104 |
| Meloxicam | 86 | 77 |
| Omeprazole | 86 | 74 |
| Cephalexin | 31 | 24 |
| Celecoxib | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$859 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1626 Tuttle StBaraboo, WI 53913-1501Phone: (608) 355-6868Fax: (608) 356-6787
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Frequently asked questions
- What is Jay Boughanem's NPI number?
- Jay Boughanem's National Provider Identifier (NPI) is 1518115948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Boughanem's specialty?
- Jay Boughanem is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jay Boughanem located?
- Jay Boughanem's practice location on file with NPPES is 676 N Saint Clair St Fl 13, Chicago, IL 60611-3060.
- What is Jay Boughanem's phone number?
- The practice phone number listed in the NPPES registry for Jay Boughanem is (312) 926-4485.
- Does Jay Boughanem accept Medicare?
- Jay Boughanem is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Boughanem's NPI active?
- Yes — Jay Boughanem's NPI (1518115948) is active in the NPPES registry as of the last update on 2023-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.