Nidal Boutros
NPI 1629036173 · Internal Medicine Physician · Lebanon, MO
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nidal Boutros is a Internal Medicine Physician provider in Lebanon, MO (NPI 1629036173).
Provider details
- NPI number
- 1629036173
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2009027847 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,168 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 | 551 | $79 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 264 | $61 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 233 | $25 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 44 | $13 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 24 | $154 |
| Administration of Pneumococcal VaccineG0009 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 126 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 837 | 248 |
| Losartan Potassium | 668 | 191 |
| Amlodipine Besylate | 545 | 162 |
| Levothyroxine Sodium | 433 | 126 |
| Rosuvastatin Calcium | 317 | 100 |
| Hydrochlorothiazide | 309 | 96 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$565 across 33 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
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2022-02-10
Frequently asked questions
- What is Nidal Boutros's NPI number?
- Nidal Boutros's National Provider Identifier (NPI) is 1629036173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nidal Boutros's specialty?
- Nidal Boutros is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nidal Boutros located?
- Nidal Boutros's practice location on file with NPPES is 120 Hospital Dr, Lebanon, MO 65536-9238.
- What is Nidal Boutros's phone number?
- The practice phone number listed in the NPPES registry for Nidal Boutros is (417) 533-6746.
- Does Nidal Boutros accept Medicare?
- Nidal Boutros is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nidal Boutros's NPI active?
- Yes — Nidal Boutros's NPI (1629036173) is active in the NPPES registry as of the last update on 2022-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.