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Dr. Anthony W Boutt , MD

Surgery • Port Huron, MI

Active NPI 1265506497 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1522 Pine Grove Ave, Suite C
Port Huron, MI 480603382

Call 8109873556 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

1522 Pine Grove Ave
Suite C

Port Huron, MI 480603382

Telephone 8109873556
Fax 8109875090
Organization at the Same NPPES Address or Phone
Huron Surgical Clinic, P.c. Facility NPI 1760556914

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Wayne State University School Of Medicine

Graduation Year

1997

Medicare patients

361 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 – by Provider, 2024.

Medicare-allowed amount

About $59,866 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 – by Provider and Service, 2024.

Paid by Medicare

About $46,580 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 – by Provider and Service, 2024.

30-day fills

711 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

$22,733 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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $69.32 across 3 records.

By nature of payment

  • Food and Beverage: $69.32 across 3 records.

Reporting-company totals

  • Integra LifeSciences Corporation: $28.35 across 1 record.
  • Rhythm Pharmaceuticals, Inc.: $20.76 across 1 record.
  • Solventum Corporation: $20.21 across 1 record.

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

29 years (graduated 1997)

CMS Doctors and Clinicians data list 1997 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

2006

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, “Does your provider accept Medicare as full payment?”

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)

Dr. Boutt 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 Dr. Boutt 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 Port Huron and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: 144. Middle half: 68 to 296.

Too few clinicians listed under Surgery in Port Huron have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: $17,612. Middle half: $7,252 to $35,970.

Too few clinicians listed under Surgery in Port Huron have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Surgery in Michigan (2024, 608 clinicians with data). Median for this group: $13,542. Middle half: $5,545 to $28,363.

Too few clinicians listed under Surgery in Port Huron have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Surgery in Michigan (2024, 639 clinicians with data). Median for this group: 47. Middle half: 22 to 106.

Too few clinicians listed under Surgery in Port Huron have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Surgery in Michigan (2024, 639 clinicians with data). Median for this group: $224. Middle half: $58 to $1,388.

Too few clinicians listed under Surgery in Port Huron have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Surgery with a practice address in Port Huron, MI (1,378 in Michigan).

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

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 · 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 · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $69.32.

Manufacturer Payment Nature Product Type Amount ($)
Integra LifeSciences Corporation
Food and Beverage
In-kind items and services
OMNIGRAFT General $28.35
Rhythm Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
IMCIVREE General $20.76
Solventum Corporation
Food and Beverage
Cash or cash equivalent
ACTIV.A.C. General $20.21

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 · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
205 96 $60.00 $44.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
63 63 $135.00 $100.92
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
54 54 $750.00 $229.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
53 50 $280.00 $154.82
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
46 42 $95.00 $80.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
40 39 $500.00 $95.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
29 29 $452.41 $164.66
45378 Diagnostic exam of large bowel using a flexible endoscope
24 24 $530.00 $163.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
24 18 $60.00 $50.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 17 $180.00 $118.92
45380 Biopsy of large bowel using a flexible endoscope
14 14 $700.00 $121.46
49421 Insertion of abdominal cavity tube for drainage or dialysis
12 12 $625.00 $210.94

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 · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates 253 280 $18,219.97 249
Omeprazole Omeprazole 107 8,006 $1,592.59 45
Oxycodone Hcl Oxycodone Hcl 41 64 $49.62 41
Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg 37 42 $1,030.62 37
Tramadol Hcl Tramadol Hcl 25 71 $35.93 23
Gavilyte-C Peg3350/Sod Sulf,bicarb,cl/Kcl 22 22 $396.32 22
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 21 42 $52.87 19
Sucralfate Sucralfate 17 550 $869.96 —
Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl 13 13 $254.02 13
Peg-3350 And Electrolytes Peg3350/Sod Sulf,bicarb,cl/Kcl 12 13 $230.94 11

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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MI 4301070173

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcbs
0740213 (MI)
Other Identifier Hap
H66438
Other Identifier Care Choice
134086
Other Identifier Aetna
7115359

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20100507000726

Enrollment State Jurisdiction

MI

PECOS Control ID

7719998921

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.

Clinicians Sharing This Practice Address or Phone

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

1 listed
NPI 1457425670

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated November 20, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265506497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Surgery Specialists in Port Huron

Healthcare providers in Port Huron

Mailing Address

1522 Pine Grove Ave, Suite C

Port Huron, MI 480603382

Phone: 8109873556

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.