Maximina Boutselis, MD - Medicare Diagnostic Radiology in West Newbury, MA

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Maximina Boutselis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in West Newbury, Massachusetts. She went to University Of Connecticut School Of Medicine and graduated in 1995 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Lehigh Valley Physician Group, Dubois Regional Medical Center, Monongahela Valley Hospital Inc, Washington Physician Services, Distinguished Diagnostic Imaging Pc, Ali M Gharagozloo Md Pc, St Lawrence Radiology Assoc Pc, Lenox Hill Radiology And Medical Imaging Associates Pc, Imaging Consultants Of Central Illinois Sc, Regional Imaging Associates, Olean Radiology, Pc, Smi Imaging Llc, Health Diagnostics Of California A Professional Corporation, Simonmed Imaging Florida Llc, Community Medical Imaging Inc, Schuyler County Hospital District, Holmes County Hospital Corp, Third Avenue Imaging Llc, St Lawrence Radiology Assoc Pc, Olean Radiology, Pc, Rightcare Clinic Pc, Vitalmd Group Holding Llc, Navajo Health Foundation-sage Memorial Hospital, Inc. and her current practice location is 20 Follinsbee Ln, West Newbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 761-4606.

Maximina Boutselis is licensed to practice in Florida (license number ME110153) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013946094.

Contact Information

Maximina Boutselis, MD
20 Follinsbee Ln,
West Newbury, MA 01985-4201
(978) 761-4606
Not Available

Map and Direction




Physician's Profile

Full NameMaximina Boutselis
GenderFemale
SpecialityDiagnostic Radiology
Experience31 Years
Location20 Follinsbee Ln, West Newbury, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maximina Boutselis attended and graduated from University Of Connecticut School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1013946094
  • Provider Enumeration Date: 07/01/2006
  • Last Update Date: 08/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7810183969
  • Enrollment ID: I20160308000669

Medical Identifiers

Medical identifiers for Maximina Boutselis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013946094NPI-NPPES
04916809MedicaidNY
0101290MedicaidMA
30200844MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 260855 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 156198 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology ME110153 (Florida)Primary
2085R0202XRadiology - Diagnostic Radiology 036139315 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology MD443290 (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology 2011014305 (Missouri)Secondary
2085R0202XRadiology - Diagnostic Radiology 01069437A (Indiana)Secondary
208D00000XGeneral Practice 156198 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley HospitalAllentown, PAHospital
Lehigh Valley Hospital - PoconoEast stroudsburg, PAHospital
Lehigh Valley Hospital - MacungieMacungie, PAHospital
Lehigh Valley Hospital - Dickson CityDickson city, PAHospital
Lehigh Valley Hospital-schuylkillPottsville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251232512
Dubois Regional Medical Center5890689715424
Monongahela Valley Hospital Inc014311760641
Washington Physician Services6103719562106
Distinguished Diagnostic Imaging Pc97390799064
Ali M Gharagozloo Md Pc04462284727
St Lawrence Radiology Assoc Pc226442112225
Lenox Hill Radiology And Medical Imaging Associates Pc2264424712245
Imaging Consultants Of Central Illinois Sc680027590012
Regional Imaging Associates711337223622
Olean Radiology, Pc913311886216
Smi Imaging Llc3476696220380
Health Diagnostics Of California A Professional Corporation4284621525176
Simonmed Imaging Florida Llc6608036108302
Community Medical Imaging Inc78102110674
Schuyler County Hospital District963807647446
Holmes County Hospital Corp337555788721
Third Avenue Imaging Llc27697501244
St Lawrence Radiology Assoc Pc226442112225
Olean Radiology, Pc913311886216
Rightcare Clinic Pc377992080613
Vitalmd Group Holding Llc8921091786535
Navajo Health Foundation-sage Memorial Hospital, Inc.216333234760

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maximina Boutselis allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780155689
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335
Entity NameMonongahela Valley Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689708570
PECOS PAC ID: 0143117606
Enrollment ID: O20040301000802
Entity NameHighlands Hospital and Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447443957
PECOS PAC ID: 2769460757
Enrollment ID: O20040707001195
Entity NameDubois Regional Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1093812406
PECOS PAC ID: 5890689715
Enrollment ID: O20051212000155
Entity NameTrumbull Radiologists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144279613
PECOS PAC ID: 1951393057
Enrollment ID: O20220531000142

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maximina Boutselis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maximina Boutselis, MD
216 Northern Blvd,
Newburyport, MA 01950-4409

Ph: (978) 761-4606		Maximina Boutselis, MD
20 Follinsbee Ln,
West Newbury, MA 01985-4201

Ph: (978) 761-4606

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.