Doctor profile · Federal record
Dr. Edmund Boulting, M.D.
Gynecology Physician (CMS: Obstetrics/Gynecology) · Lake Mary, FL
- NPI 1174658116
- Accepts Medicare
- MIPS 89.7 / 100 · 2023
- 35 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
785 Primera Blvd, Suite 1031
Lake Mary, FL 327462124
(407) 834-8111
fax (407) 708-1958
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- June 25, 2024
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 207VG0400X — NUCC code
- State license (1)
- Florida #ME70127
- Medicaid
- FL #379728700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174658116. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$5,992
Transactions
21
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| MIMEDX Group, Inc. | 5 | $5,600.00 | |
| Astellas Pharma US Inc | 6 | $183.77 | |
| Smith+Nephew, Inc. | 2 | $55.53 | |
| CooperSurgical, Inc. | 2 | $48.22 | |
| Gynesonics, Inc. | 2 | $38.70 | |
| Agile Therapeutics, Inc. | 1 | $20.04 | |
| Meditrina | 1 | $17.04 | |
| SHIELD THERAPEUTICS INC | 1 | $15.52 | |
| Guard Medical Inc. | 1 | $13.62 |
By nature of payment
Frequently asked questions
What is Dr. Edmund Boulting's medical specialty?
Dr. Edmund Boulting practices Gynecology Physician in Lake Mary, FL.
Where does Dr. Edmund Boulting practice?
Dr. Edmund Boulting practices at 785 Primera Blvd, Lake Mary, FL 327462124. Office phone: 4078348111.
What is Dr. Edmund Boulting's NPI?
Dr. Edmund Boulting's National Provider Identifier (NPI) is 1174658116, issued by NPPES.
Does Dr. Edmund Boulting accept Medicare assignment?
Yes. Dr. Edmund Boulting accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.