Doctor profile · Federal record
Dr. Nidal Boutros
Internal Medicine Physician (CMS: Internal Medicine) · Lebanon, MO
- NPI 1629036173
- Accepts Medicare
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
120 Hospital Dr, Suite 300
Lebanon, MO 655369238
(417) 533-6746
fax (417) 533-6740 - Mailing address
-
Po Box 505164
Saint Louis, MO 631505164
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- February 10, 2022
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Missouri #2009027847
- Medicaid
- MO #1629036173
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629036173. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,184
Distinct HCPCS
10
Medicare allowed
$70,765
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 530 | 288 | $78 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 289 | 197 | $63 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 244 | 244 | $21 | |
96372 |
Injection of drug or substance under skin or into muscle | 26 | 11 | $13 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 18 | 18 | $33 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 15 | 15 | $99 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 14 | 13 | $12 | |
71046 |
X-ray of chest, 2 views | 12 | 11 | $25 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | 12 | $76 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $155 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 138. This provider delivers 8.6× the peer median.Open Payments
Industry payments received
All-time total
$565
Transactions
33
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 13 | $173.12 | |
| GlaxoSmithKline, LLC. | 4 | $65.76 | |
| ABBVIE INC. | 3 | $65.09 | |
| Daiichi Sankyo Inc. | 3 | $63.40 | |
| Lilly USA, LLC | 2 | $46.03 | |
| Novo Nordisk Inc | 3 | $45.31 | |
| Radius Health, Inc. | 1 | $34.62 | |
| AstraZeneca Pharmaceuticals LP | 2 | $30.62 | |
| Sumitomo Pharma America, Inc. | 1 | $22.83 | |
| Astellas Pharma US Inc | 1 | $18.36 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,576
Patients
1,295
Total drug cost
$51,331
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 786 | 220 | $8,724 |
| Losartan Potassium | Generic | 583 | 157 | $7,962 |
| Amlodipine Besylate | Generic | 537 | 151 | $4,265 |
| Levothyroxine Sodium | Generic | 432 | 114 | $5,146 |
| Hydrochlorothiazide | Generic | 307 | 93 | $1,359 |
| Rosuvastatin Calcium | Generic | 262 | 84 | $3,944 |
| Gabapentin | Generic | 237 | 60 | $4,580 |
| Lisinopril | Generic | 220 | 69 | $1,962 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 211 | 57 | $2,065 |
| Omeprazole | Generic | 191 | 57 | $2,678 |
Hospital affiliations
Frequently asked questions
What is Dr. Nidal Boutros's medical specialty?
Dr. Nidal Boutros practices Internal Medicine Physician in Lebanon, MO.
Where does Dr. Nidal Boutros practice?
Dr. Nidal Boutros practices at 120 Hospital Dr, Lebanon, MO 655369238. Office phone: 4175336746.
What is Dr. Nidal Boutros's NPI?
Dr. Nidal Boutros's National Provider Identifier (NPI) is 1629036173, issued by NPPES.
Does Dr. Nidal Boutros accept Medicare assignment?
Yes. Dr. Nidal Boutros accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nidal Boutros commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.