Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Bradley Scott Boutcher , PA-C

Physician Assistant โ€ข Jacksonville, FL

Active NPI 1730840729 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

836 Prudential Drive, Ste 1804
Jacksonville, FL 322078345

Call 9043983888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

836 Prudential Drive
Ste 1804

Jacksonville, FL 322078345

Telephone 9043983888
Fax 9044006675
Organization at the Same NPPES Address or Phone
Florida Physician Specialists Llc Facility NPI 1437495868

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Cardiothoracic And Vascular Surgical Associates Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

96 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $18,886 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $15,047 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

132 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$449 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $3,016.03 across 38 records.

By nature of payment

  • Food and Beverage: $3,016.03 across 38 records.

Reporting-company totals (3 largest of 8)

  • ABIOMED: $1,106.59 across 17 records.
  • AtriCure, Inc.: $734.64 across 9 records.
  • AOP Health US, LLC: $549.16 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Bradley Boutcher has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Bradley Boutcher as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 432 clinicians with data). Median for this group: 317. Middle half: 110 to 886.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Jacksonville, FL (2024, 432 clinicians with data). Median for this group: $25,236. Middle half: $8,783 to $61,231.

Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Jacksonville, FL (2024, 432 clinicians with data). Median for this group: $18,850. Middle half: $6,720 to $45,820.

Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Jacksonville, FL (2024, 407 clinicians with data). Median for this group: 208. Middle half: 60 to 691.

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Jacksonville, FL (2024, 407 clinicians with data). Median for this group: $6,463. Middle half: $624 to $68,077.

A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.

842 active clinicians are listed under Physician Assistant with a practice address in Jacksonville, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

20.5% of these 842 clinicians have the CMS telehealth indicator.

59.1% of these 842 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 38 records totaling $3,016.03.

Manufacturer Payment Nature Product Type Amount ($)
AOP Health US, LLC
Food and Beverage
In-kind items and services
Rapiblyk General $291.35
AtriCure, Inc.
Food and Beverage
In-kind items and services
SYNERGY ABLATION SYSTEM General $262.97
AOP Health US, LLC
Food and Beverage
In-kind items and services
Rapiblyk General $257.81
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $145.26
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $142.60
CeQur Corporation
Food and Beverage
Cash or cash equivalent
CeQur Simplicity General $135.80
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $133.34
AtriCure, Inc.
Food and Beverage
In-kind items and services
SYNERGY ABLATION SYSTEM General $126.97
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $126.83
Getinge USA Sales, LLC
Food and Beverage
In-kind items and services
VASOVIEW HEMOPRO 2 General $126.47
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $122.51
Getinge USA Sales, LLC
Food and Beverage
In-kind items and services
7MM EXTENDED LENGTH ENDOSCOPE General $119.83
Edwards Lifesciences Corporation
Food and Beverage
In-kind items and services
โ€” General $108.37
AtriCure, Inc.
Food and Beverage
In-kind items and services
ATRICLIP LAA EXCLUSION SYSTEM General $102.12
AtriCure, Inc.
Food and Beverage
In-kind items and services
SYNERGY ABLATION SYSTEM General $94.23
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $73.95
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $56.91
Zimmer Biomet Holdings, Inc.
Food and Beverage
In-kind items and services
VENAPAX General $55.39
AtriCure, Inc.
Food and Beverage
In-kind items and services
SYNERGY ABLATION SYSTEM General $48.53
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $41.92
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $38.59
AtriCure, Inc.
Food and Beverage
In-kind items and services
SYNERGY ABLATION SYSTEM General $35.77
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $31.48
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $31.20
ABIOMED
Food and Beverage
In-kind items and services
โ€” General $29.29

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft
64 64 $832.00 $245.97
33508 Harvest of vein using an endoscope
25 25 $7.00 $2.21
33517 Coronary artery bypass using vein or artery graft, 1 graft
22 22 $84.00 $25.86
33518 Coronary artery bypass using vein or artery graft, 2 grafts
22 22 $185.00 $56.64
33519 Coronary artery bypass using vein or artery graft, 3 grafts
17 17 $363.65 $74.90

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tramadol Hcl Tramadol Hcl 47 310 $232.26 46
Furosemide Furosemide 36 492 $36.61 36
Potassium Chloride Potassium Chloride 35 485 $91.80 35
Oxycodone Hcl Oxycodone Hcl 14 79 $87.91 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL 9115278

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220305000171

Enrollment State Jurisdiction

FL

PECOS Control ID

6608260732

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Cardiothoracic And Vascular Surgical Associates Pa

1824 King St, Jacksonville, FL 322044736

Phone: 9043843343

Cardiothoracic And Vascular Surgical Associates Pa

836 Prudential Dr, Jacksonville, FL 322078345

Phone: 9043983888

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Craig Acosta , PA-C

Physician Assistant - Surgical

NPI 1467416479

Physician Assistant (Certified)

Dr. Nathan Bates , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1235192733

Doctor of Medicine (M.D.)

Dr. Peter Bolan , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1174502314

Doctor of Medicine (M.D.)

Jennifer Card , PA-C

Physician Assistant - Surgical

NPI 1174787303

Physician Assistant (Certified)

Michael Juneau , PA-C

Physician Assistant - Surgical

NPI 1821077173

Physician Assistant (Certified)

Dr. Erin Moore , MD

Surgery - Vascular Surgery

NPI 1033119037

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location October 02, 2023

Registered at 836 PRUDENTIAL DRIVE, STE 1804, JACKSONVILLE, FL 322078345 (Tel: 9043983888)

๐Ÿ“
Updated Business Mailing Address October 02, 2023

Registered at 836 PRUDENTIAL DRIVE, STE 1804, JACKSONVILLE, FL 322078345 (Tel: 9043983888)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2023

Physician Assistant (license number reported to NPPES: FL 9115278)

๐Ÿ“
Updated Practice Location January 04, 2023

Registered at 10475 CENTURION PKWY N STE 220, JACKSONVILLE, FL 322565004 (Tel: 9046340640)

๐Ÿ“
Updated Business Mailing Address January 04, 2023

Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340460)

โœ…
NPI Profile Active January 06, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 06, 2022

Registered at 580 W 8TH ST # TOWER1, JACKSONVILLE, FL 322096533 (Tel: 9043831022)

๐Ÿ“
Business Mailing Address (Initial Record) January 06, 2022

Registered at 2670 POST ST APT 2, JACKSONVILLE, FL 322044247

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 06, 2022

Recorded as BRADLEY BOUTCHER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2022

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration January 03, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730840729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2022
Last Update: March 31, 2025
Sole Proprietor: No

Other Physician Assistants in Jacksonville

All Physician Assistants in Jacksonville

Mailing Address

836 Prudential Drive, Ste 1804

Jacksonville, FL 322078345

Phone: 9043983888

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.