Doctor profile · Federal record
Dr. Justin Boutwell, PA
Medical Physician Assistant · Broken Bow, NE
- NPI 1861959017
- 7 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
145 Memorial Dr
Broken Bow, NE 688221378
(308) 872-2486
fax (308) 872-2027 - Additional location
-
1316 Logan St
Holdrege, NE 689491448
(308) 991-4571
Credentials & registration
- NPI registered
- February 2019 — 7 yrs on file
- Profile last updated
- August 19, 2019
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Nebraska #2387
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861959017. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
334
Distinct HCPCS
7
Medicare allowed
$13,427
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 117 | 90 | $72 | |
36415 |
Insertion of needle into vein for collection of blood sample | 63 | 48 | $8 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 47 | 40 | $7 | |
80053 |
Blood test, comprehensive group of blood chemicals | 42 | 35 | $10 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 36 | 24 | $102 | |
81001 |
Manual urinalysis test with examination using microscope, automated | 18 | 15 | $3 | |
81003 |
Automated urinalysis test | 11 | 11 | $2 |
In context: peer comparison
Among 1 peers in Broken Bow Medical Physician Assistant, average services per provider: 47. This provider delivers 7.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
312
Patients
93
Total drug cost
$11,396
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cefdinir | Generic | 30 | 28 | $691 |
| Levothyroxine Sodium | Generic | 29 | 0 | $385 |
| Doxycycline Hyclate | Generic | 27 | 25 | $573 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 24 | 0 | $260 |
| Lisinopril | Generic | 24 | 0 | $158 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 23 | 18 | $295 |
| Losartan Potassium | Generic | 23 | 0 | $293 |
| Prednisone | Generic | 23 | 22 | $119 |
| Pantoprazole Sodium | Generic | 21 | 0 | $292 |
| Famotidine | Generic | 17 | 0 | $320 |
Frequently asked questions
What is Dr. Justin Boutwell's medical specialty?
Dr. Justin Boutwell practices Medical Physician Assistant in Broken Bow, NE.
Where does Dr. Justin Boutwell practice?
Dr. Justin Boutwell practices at 145 Memorial Dr, Broken Bow, NE 688221378. Office phone: 3088722486.
What is Dr. Justin Boutwell's NPI?
Dr. Justin Boutwell's National Provider Identifier (NPI) is 1861959017, issued by NPPES.
What procedures does Dr. Justin Boutwell commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS 85025). Source: CMS Medicare Physician & Other Practitioners file.