Provider profile

James BoutrousMD

Urology

NPI 1487619722
20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081586-771-4820

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Medicare Advantage plans for Macomb County, MI.

Checked Oct 27, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 76 Medicare Advantage plans we show for Macomb County, MI in 2027

  • 14 list James
  • 62 not listed

Health Alliance Plan by Henry Ford Health

11 plans list James.

11plans
  • HAP Medicare Connect (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI, 48081

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH2354-015-000Medicare.gov
    $0a month
  • HAP Medicare Explore (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI, 48081

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-011-000Medicare.gov
    $0a month
  • HAP Medicare MedicalAccess (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI, 48081

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH2354-019-000Medicare.gov
    $0a month
  • HAP Medicare Prime (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI, 48081

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-016-000Medicare.gov
    $0a month

McLaren Medicare

3 plans list James.

3plans
  • McLaren Medicare Inspire (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI, 48081
    • 17405 Hall Rd, Macomb, MI, 48044
    • 15959 Hall Rd, Ste 401, Macomb, MI, 48044
    • 11051 Hall Rd, Ste 200, Shelby Township, MI, 48317
    • 1701 South Blvd E, Ste 340, Rochester Hills, MI, 48307
    • 18100 Oakwood Blvd, Ste 315, Dearborn, MI, 48124
    • 1637 Monroe St, Dearborn, MI, 48124
    • 2128 W Jefferson Ave, Trenton, MI, 48183
    • 2300 Haggerty Rd, Ste 2000, West Bloomfield, MI, 48323
    • 25500 Meadowbrook Rd, Ste 225, Novi, MI, 48375
    • 1 William Carls Dr, Ste 210, Commerce Township, MI, 48382
    • 12660 10 Mile Rd, South Lyon, MI, 48178

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-001-000Medicare.gov
    $0a month
  • McLaren Medicare Inspire Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI, 48081
    • 17405 Hall Rd, Macomb, MI, 48044
    • 15959 Hall Rd, Ste 401, Macomb, MI, 48044
    • 11051 Hall Rd, Ste 200, Shelby Township, MI, 48317
    • 1701 South Blvd E, Ste 340, Rochester Hills, MI, 48307
    • 18100 Oakwood Blvd, Ste 315, Dearborn, MI, 48124
    • 1637 Monroe St, Dearborn, MI, 48124
    • 2128 W Jefferson Ave, Trenton, MI, 48183
    • 2300 Haggerty Rd, Ste 2000, West Bloomfield, MI, 48323
    • 25500 Meadowbrook Rd, Ste 225, Novi, MI, 48375
    • 1 William Carls Dr, Ste 210, Commerce Township, MI, 48382
    • 12660 10 Mile Rd, South Lyon, MI, 48178

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-008-000Medicare.gov
    $0a month
  • McLaren Medicare Inspire Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI, 48081
    • 17405 Hall Rd, Macomb, MI, 48044
    • 15959 Hall Rd, Ste 401, Macomb, MI, 48044
    • 11051 Hall Rd, Ste 200, Shelby Township, MI, 48317
    • 1701 South Blvd E, Ste 340, Rochester Hills, MI, 48307
    • 18100 Oakwood Blvd, Ste 315, Dearborn, MI, 48124
    • 1637 Monroe St, Dearborn, MI, 48124
    • 2128 W Jefferson Ave, Trenton, MI, 48183
    • 2300 Haggerty Rd, Ste 2000, West Bloomfield, MI, 48323
    • 25500 Meadowbrook Rd, Ste 225, Novi, MI, 48375
    • 1 William Carls Dr, Ste 210, Commerce Township, MI, 48382
    • 12660 10 Mile Rd, South Lyon, MI, 48178

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-002-000Medicare.gov
    $20a month

Aetna Medicare · Aetna Medicare HIDE

Not listed on its 7 plans here. That isn't proof they're out of network.

AmeriHealth Caritas VIP Care

Not listed on its 1 plan here. That isn't proof they're out of network.

Blue Care Network

Not listed on its 5 plans here. That isn't proof they're out of network.

Blue Cross Blue Shield of Michigan

Not listed on its 7 plans here. That isn't proof they're out of network.

HAP CareSource MI Coordinated Health

Not listed on its 1 plan here. That isn't proof they're out of network.

Humana

Not listed on its 12 plans here. That isn't proof they're out of network.

Molina Healthcare of Michigan

Not listed on its 1 plan here. That isn't proof they're out of network.

Priority Health Medicare

Not listed on its 10 plans here. That isn't proof they're out of network.

Trinity Health Plan of Michigan

Not listed on its 4 plans here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 1 plan here. That isn't proof they're out of network.

Wellcare

Not listed on its 4 plans here. That isn't proof they're out of network.

Zing Health

Not listed on its 9 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether James takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

20952 E 12 Mile Rd, Suite 200
St Clair Shores, MI 48081

NPI Registry
NPI issued
2006
Registry record updated
Jul 28, 2008

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list James Boutrous?

In Macomb County, MI, 14 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including HAP Medicare Connect (HMO), HAP Medicare Explore (PPO) and HAP Medicare MedicalAccess (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does James Boutrous take Health Alliance Plan by Henry Ford Health Medicare Advantage plans?

Medicare.gov provider data lists James on 11 Medicare Advantage plans for 2027 in Macomb County, MI, including HAP Medicare Connect (HMO) and HAP Medicare Explore (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Health Alliance Plan by Henry Ford Health before you enroll.

Does James Boutrous take McLaren Medicare Medicare Advantage plans?

Medicare.gov provider data lists James on 3 Medicare Advantage plans for 2027 in Macomb County, MI, including McLaren Medicare Inspire (HMO) and McLaren Medicare Inspire Giveback (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or McLaren Medicare before you enroll.

Does James Boutrous take Aetna Medicare Medicare Advantage plans?

The provider searches didn't return a listing for James on these 7 plans for 2027 in Macomb County, MI. Directories can lag, and a clinician can be in network at another office, so that isn't proof James is out of network. Ask the office or a Silverpath advisor to confirm.

Where does James Boutrous practice?

20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081.

How do I confirm James is in my plan's network?

Call the member services number on your plan card and give them the NPI 1487619722, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for James Boutrous on 62 plans from Aetna Medicare, AmeriHealth Caritas VIP Care, Blue Care Network, Blue Cross Blue Shield of Michigan, HAP CareSource MI Coordinated Health, Humana, Molina Healthcare of Michigan, Priority Health Medicare, Trinity Health Plan of Michigan, UnitedHealthcare, Wellcare and Zing Health in Macomb County, MI. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2008-07-28). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 27, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by James Boutrous or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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Does James take my plan?