Dr. Mark Daniel Bouchard , MD
Pediatrics β’ Issaquah, WA
751 Ne Blakely Dr Ste 5010
Issaquah, WA 980296201
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
751 Ne Blakely Dr Ste 5010
Issaquah, WA 980296201
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2016
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, βDoes your provider accept Medicare as full payment?β
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.
Enrolled in Medicare (PECOS)
Dr. Bouchard 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.
Can order Medicare-covered services
CMS lists Dr. Bouchard 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Issaquah and Washington
22 active clinicians are listed under Pediatrics with a practice address in Issaquah, WA (1,753 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Issaquah
0% of these 22 clinicians have the CMS telehealth indicator.
4.5% of these 22 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-01-17NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20210119001532
WA
4981949690
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.
Psychiatry & Neurology - Psychiatry
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Counselor - Mental Health
Licensed Mental Health Counselor
Social Worker - Clinical
Licensed Independent Clinical Social Worker
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 751 NE BLAKELY DR STE 5010, ISSAQUAH, WA 980296201 (Tel: 4253940700)
Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)
Recorded as MARK BOUCHARD, MD
Registered at 201 16TH AVE E, SEATTLE, WA 981125226 (Tel: 2063263000)
Registered at 201 16TH AVE E, SEATTLE, WA 981125226 (Tel: 2063263000)
Pediatrics (license number reported to NPPES: WA MD61046264)
Registered at 9800 4TH AVE NE, SEATTLE, WA 981152152 (Tel: 2063021200)
Registered at 9800 4TH AVE NE, SEATTLE, WA 981152152 (Tel: 2063021200)
Pediatrics (license number reported to NPPES: NY 300476)
NPI status registered as active in NPPES database
Registered at 475 SEAVIEW AVE, STATEN ISLAND, NY 103053436 (Tel: 7182269000)
Registered at PO BOX 1303, PEMBROKE, MA 023591303
Recorded as MARK BOUCHARD, M.D.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 25608
Salt Lake City, UT 841250608
Phone: 2063204476