Doctor profile · Federal record

Dr. Jason Boudjouk, M.D.

Internal Medicine Physician (CMS: Internal Medicine) · Warwick, RI

  • NPI 1255376455
  • Accepts Medicare
  • 25 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
190 Commerce Dr
Warwick, RI 028862430
(401) 921-5970
fax (401) 921-5973
Mailing address
1 Ashley Dr
Lincoln, RI 028651434

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
August 12, 2021
Year of graduation
2001 — 25 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Rhode Island #MD12133

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255376455. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
585
Distinct HCPCS
6
Medicare allowed
$60,020
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 191 105 $130
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 109 109 $131
99213 Established patient office or other outpatient visit, 20-29 minutes 104 58 $90
99497 Advance care planning, first 30 minutes 101 101 $84
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 46 40 $15
99442 Telephone medical discussion with physician, 11-20 minutes 34 27 $72

In context: peer comparison

Among 21 peers in this city , average services per provider: 82. This provider delivers 7.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
2,579
Patients
704
Total drug cost
$41,753
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 498 141 $7,966
Omeprazole Generic 227 69 $3,928
Amlodipine Besylate Generic 226 63 $2,552
Lisinopril Generic 215 65 $2,417
Tamsulosin Hcl Generic 179 54 $4,281
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 159 18 $5,097
Metoprolol Succinate Generic 146 45 $3,026
Furosemide Generic 143 43 $1,464
Losartan Potassium Generic 123 36 $2,855
Simvastatin Generic 123 37 $1,596

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jason Boudjouk's medical specialty?
Dr. Jason Boudjouk practices Internal Medicine Physician in Warwick, RI.
Where does Dr. Jason Boudjouk practice?
Dr. Jason Boudjouk practices at 190 Commerce Dr, Warwick, RI 028862430. Office phone: 4019215970.
What is Dr. Jason Boudjouk's NPI?
Dr. Jason Boudjouk's National Provider Identifier (NPI) is 1255376455, issued by NPPES.
Does Dr. Jason Boudjouk accept Medicare assignment?
Yes. Dr. Jason Boudjouk accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jason Boudjouk commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.