CMS-1500 Box 24J / 33a • NPI
1174557839
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208200000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
Box 32 Service Location & ZIP+4
69 HALL RD, STURBRIDGE, MA, 01566-1519
✓ 9-Digit EDI 837 ZIP+4 (01566-1519)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1174557839 (ARTURO AGUILLON-BOUCHE, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1174557839)
Medicare Beneficiaries
147
Total Billed Services
438
Distinct CPT/HCPCS Codes
75
Medicare Allowed Total
$71,218.04
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11104 | Punch biopsy, first skin growth | 21 |
12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 13 |
99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 30 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 39 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 95 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Bacitracin-Polymyxin Bacitracin/Polymyxin B Sulfate | 12 | 11 |
| Clindamycin Hcl Clindamycin Hcl | 134 | 106 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1174557839 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ARTURO AGUILLON-BOUCHE, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: 208200000X (Plastic Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 69 HALL RD, STURBRIDGE, MA, 01566-1519 |
| Practice Telephone / Fax | Tel: (508) 347-9444 | Fax: (508) 347-9004 |
| Administrative Mailing Address | 69 HALL RD, STURBRIDGE, MA, 01566-1519 |
| Enumeration & Last Sync | Enumerated: 2006-07-10 | CMS Record Updated: 2010-12-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208200000X)
What Does Taxonomy Code 208200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ARTURO AGUILLON-BOUCHE, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208200000X — Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery | State: MA | License: 77374 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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