NPPES file of Aug 9, 2026

Alison Tisack Boucher, M.D.

Dermatology Physician · Detroit, MI

Alison Tisack Boucher, M.D. is a dermatology physician with a practice address in Detroit, Michigan, and NPI 1174887707, issued on Jun 28, 2012. Check the license (Michigan 4301101370, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174887707
Name
Alison Tisack Boucher
Credential
M.D.
Primary taxonomy
Dermatology Physician 207N00000X
License number
4301101370 MI
Self-reported in NPPES; status is on the state search
Practice location
3031 W Grand Blvd, Detroit, MI 48202
Phone
(313) 916-2151
Enumerated
Jun 28, 2012
Record last updated
Feb 24, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20160727000293); accepts Medicare assignment
Medical or professional school
Wayne State University School Of Medicine, 2012
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3031 W Grand Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ahmad Awada, MDGynecologic Oncology Physician1124336581
  2. Belinda Busogi, MDPsychiatry Physician1295527943
  3. Emily Casterline, D.O.Pediatrics Physician1952764193
  4. Angad Chadha, MDDermatology Physician1568852994
  5. Assumpta Chike, MDInternal Medicine Physician1164681425
  6. Christopher Chung, MDStudent in an Organized Health Care Education/Training Program1316688708

Verify Alison Tisack Boucher in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 4301101370
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Michigan license search

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37% fewer Medicare Part D claims than the average dermatology physician in 2024

505 Medicare Part D claims for 199 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims.

  1. Alison Boucher505
  2. Specialty average797

Most prescribed

  1. Triamcinolone Acetonide60 claims
  2. Ketoconazole49 claims
  3. Hydrocortisone40 claims
  4. Clobetasol Propionate32 claims
  5. Tretinoin25 claims
  6. Calcipotriene21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $38.51

2 payments; by number, the most common kind was food and beverage; the largest payer was Galderma Laboratories, L.P. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Alison Boucher$38.51
  2. Specialty average$8,544.61

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Henry Ford Health SystemDetroit, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Alison Tisack Boucher among 471 dermatology physician records in Michigan

Alison Tisack Boucher, M.D. is one of 471 dermatology physician records with a practice address in Michigan. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 58% of them.

  • NPI issued2012 · 58% of these records are older, 39% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2012 · median 2008 among the 324 with a school on file
  • Record last updated2019 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Dermatology Physician providers in Michigan

There are 471 dermatology physician records in Michigan.

The 8 dermatology physician records with the nearest ZIP codes

  1. Fahad Almutawa, M.D.Detroit, MI 482021396025599
  2. Anna Axelson, M.D.Detroit, MI 482021114283678
  3. Angad Chadha, MDDetroit, MI 482021568852994
  4. Ben Friedman, MDDetroit, MI 482021477813855
  5. Raechele Gathers, M.D.Detroit, MI 482021285693804
  6. Richard Huggins, M.D.Detroit, MI 482021619136934
  7. Emily Keimig, M.D.Detroit, MI 482021104035203
  8. Holly Kerr, M.D.Detroit, MI 482021376751784

Common questions

What is Alison Tisack Boucher, M.D.'s NPI number?

Alison Tisack Boucher, M.D.'s National Provider Identifier (NPI) is 1174887707, issued on Jun 28, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Alison Tisack Boucher, M.D. located?

The NPPES record lists a practice address at 3031 W Grand Blvd, Detroit, MI, 48202. Phone: (313) 916-2151. Providers update this record themselves, so call before visiting.

How can I verify Alison Tisack Boucher, M.D.'s license?

NPPES lists Michigan license number 4301101370, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Alison Tisack Boucher, M.D. prescribe under Medicare Part D?

In 2024, Alison Tisack Boucher, M.D. had 505 Medicare Part D claims for 199 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.