Doctor profile · Federal record
Dr. Kelly Boucher, O.D
Optometrist (CMS: Optometry) · Oklahoma City, OK
- NPI 1528476207
- Accepts Medicare
- 12 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4913 W Reno Ave
Oklahoma City, OK 731276339
(405) 948-4900
fax (405) 948-4933
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- January 11, 2021
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Oklahoma #2802
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528476207. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
555
Distinct HCPCS
8
Medicare allowed
$39,327
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92250 |
Photography of the retina | 219 | 195 | $34 | |
92014 |
Established patient complete exam of visual system | 173 | 168 | $116 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 66 | 51 | $82 | |
92083 |
Exam of visual field with extended testing | 29 | 29 | $55 | |
92133 |
Imaging of optic nerve | 24 | 23 | $32 | |
92004 |
New patient complete exam of visual system | 19 | 19 | $139 | |
92134 |
Imaging of retina | 14 | 13 | $37 | |
92100 |
Multiple measurements of eye fluid pressure over an extended time period | 11 | 11 | $77 |
In context: peer comparison
Among 38 peers in this city , average services per provider: 78. This provider delivers 7.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
293
Patients
39
Total drug cost
$4,394
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 171 | 27 | $2,409 |
| Brimonidine Tartrate | Generic | 61 | 12 | $882 |
| Timolol Maleate | Generic | 48 | 0 | $731 |
| Ofloxacin | Generic | 13 | 0 | $373 |
Frequently asked questions
What is Dr. Kelly Boucher's medical specialty?
Dr. Kelly Boucher practices Optometrist in Oklahoma City, OK.
Where does Dr. Kelly Boucher practice?
Dr. Kelly Boucher practices at 4913 W Reno Ave, Oklahoma City, OK 731276339. Office phone: 4059484900.
What is Dr. Kelly Boucher's NPI?
Dr. Kelly Boucher's National Provider Identifier (NPI) is 1528476207, issued by NPPES.
Does Dr. Kelly Boucher accept Medicare assignment?
Yes. Dr. Kelly Boucher accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Boucher commonly perform?
Top Medicare-reported procedures in 2023: Photography of the retina (HCPCS 92250); Established patient complete exam of visual system (HCPCS 92014); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.