JESSICA MARY BOEHMLER MD
NPI 1003013483
Internal Medicine - Critical Care Medicine in Allentown, PA


Quality Rating: 91 out of 100 score

NPI Status: Active since June 29, 2007

Contact Information

1250 S CEDAR CREST BLVD
SUITE 205
ALLENTOWN, PA
ZIP 18103
Phone: (610) 439-8856
Fax: (610) 439-8856

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  • Individual
  • Female
  • Years of Experience 17
  • Internal Medicine
  • Critical Care Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JESSICA BOEHMLER

Jessica Boehmler is an internist established in Allentown, Pennsylvania and her medical specialization is Internal Medicine with a focus in critical care medicine with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1003013483 assigned on June 2007. The practitioner's primary taxonomy code is 207RC0200X with license number MD448722 (PA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1003013483
Provider Name
JESSICA MARY BOEHMLER MD
Gender
Female
Entity Type
Individual
Location Address
1250 S CEDAR CREST BLVD SUITE 205 ALLENTOWN, PA 18103
Location Phone
(610) 439-8856
Location Fax
(610) 439-8856
Mailing Address
PO BOX 783311 PHILADELPHIA, PA 19178
Mailing Phone
(484) 884-4500
Mailing Fax
(610) 439-8856
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-29-2007
Last Update Date
02-03-2016
Code Navigator

An internist like Jessica Boehmler is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Jessica Boehmler is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.93 for a new patient copayment and $25.4 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Critical Care Medicine

Taxonomy Code
207RC0200X
Type
Allopathic & Osteopathic Physicians
License No.
MD448722
License State
PA
Taxonomy Description
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

MD448722 (PA)

PECOS Enrollment and Medicare Participation Status

Jessica Boehmler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 143460899

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130806000062

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    3 DME suppliers used 23 Medicare Claims 23 Services Paid

  • Other DME (D1E)

    Nebulizer, with compressor (HCPCS:E0570)

    1 DME suppliers used 15 Medicare Claims 15 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 55 Medicare Claims 55 Services Paid

  • Oxygen and supplies (D1C)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 26 Medicare Claims 26 Services Paid

  • Drugs Administered through DME (D1G)

    Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms (HCPCS:J7605)

    1 DME suppliers used 14 Medicare Claims 840 Services Paid

  • Drugs Administered through DME (D1G)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    4 DME suppliers used 39 Medicare Claims 2340 Services Paid

Drugs and Nutritional Products

  • Other drugs (O1E)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    5 DME suppliers used 41 Medicare Claims 41 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 18103 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $131.75
  • Minimum New Patient Price $57.02
  • Maximum New Patient Price $174.05
  • Average New Patient Copayment $32.93
  • Minimum New Patient Copayment $14.25
  • Maximum New Patient Copayment $43.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $101.62
  • Minimum Established Patient Price $17.59
  • Maximum Established Patient Price $142.08
  • Average Established Patient Copayment $25.4
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $35.52

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 91 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 90.18

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 86.36

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 33

    Measurement of lung diffusing capacity (HCPCS:94729)

  • 32

    Determination of lung volumes using plethysmography (HCPCS:94726)

  • 24

    Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jessica Boehmler is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET420 SOUTH JACKSON STREET
POTTSVILLE, PA 17901
(570) 621-5102Acute Care Hospitals
LEHIGH VALLEY HOSPITAL1200 SOUTH CEDAR CREST BOULEVARD
ALLENTOWN, PA 18103
(610) 402-8000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003013483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003016416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 4 + 1 + 6 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003013483 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477559987 GEORGE A ARANGIO M.D.
Individual
Orthopaedic Surgery1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1457359655 MELISSA VISCO PT
Individual
Physical Therapist (Orthopedic)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 402-2273
1336147586 NANCY ZENKO P.T.
Individual
Physical Therapist (Orthopedic)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1326046517 GAIL KELLY R.N.
Individual
Registered Nurse (Orthopedic)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1295733277 JOHN HOLLEY R.N
Individual
Registered Nurse (Orthopedic)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1679561898 MICHAEL J BARRETT MD
Individual
Internal Medicine (Cardiovascular Disease)1250 S CEDAR CREST BLVD SUITE 300
ALLENTOWN, PA 18103
(610) 402-3110
1245209022PULMONARY ASSOCIATES PC
Organization
Internal Medicine (Pulmonary Disease)1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
(610) 439-8856
1306806294 KAITLIN G MALONEY PA-C
Individual
Physician Assistant (Medical)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 402-1003
1265496491VSAS ORTHOPAEDICS, PC
Organization
Orthopaedic Surgery1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1407811763VSAS ORTHOPAEDICS, PC
Organization
Physical Therapist1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1558313106 LEE E SPEED PA
Individual
Physician Assistant (Medical)1250 S CEDAR CREST BLVD SUITE 310
ALLENTOWN, PA 18103
(610) 402-6890
1952310997 JAMES R REDENBAUGH MD
Individual
Psychiatry & Neurology (Neurology)1250 S CEDAR CREST BLVD SUITE 405
ALLENTOWN, PA 18103
(610) 402-8420
1902914310 CARLY D SWIATEK PA
Individual
Physician Assistant (Medical)1250 S CEDAR CREST BLVD SUITE 405
ALLENTOWN, PA 18103
(610) 402-8420
1942306170 STEVEN ZELENKOFSKE DO
Individual
Internal Medicine (Cardiovascular Disease)1250 S CEDAR CREST BLVD SUITE 300
ALLENTOWN, PA 18103
(610) 402-3110
1790853828 JUSTIN J FATULA PA-C
Individual
Physician Assistant1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1225195993VSAS ORTHOPAEDICS, P.C.
Organization
Radiology (Diagnostic Radiology)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1831230689 LALITA SHASTRY M.D.
Individual
Internal Medicine (Infectious Disease)1250 S CEDAR CREST BLVD SUITE 200
ALLENTOWN, PA 18103
(610) 402-8430
1962696377VSAS ORTHOPAEDICS, P.C.
Organization
Podiatrist (Foot & Ankle Surgery)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003
1033383104 JOSHUA J STACY PA
Individual
Physician Assistant (Surgical)1250 S CEDAR CREST BLVD SUITE 400
ALLENTOWN, PA 18103
(610) 402-6555
1437324761VSAS ORTHOPAEDICS PC
Organization
Chiropractor (Sports Physician)1250 S CEDAR CREST BLVD SUITE 110
ALLENTOWN, PA 18103
(610) 435-1003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013483, enumerated in the NPI registry as an "individual" on June 29, 2007

The provider is located at 1250 S Cedar Crest Blvd Suite 205 Allentown, Pa 18103 and the phone number is (610) 439-8856

The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine

The provider has more than 17 years of experience.

Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $131.75 with an average copayment of $32.93 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Measurement of lung diffusing capacity, Determination of lung volumes using plethysmography and Measurement and graphic recording of total and timed exhaled air capacity.

The practitioner is affiliated to the following hospital(s): SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET and LEHIGH VALLEY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.