DR. STACI ANNE BOON O.D.
NPI 1013261510
Optometrist in Waterloo, IA

Active since November 05, 2012PECOS EnrolledAccepts Medicare Assignment
909 E SAN MARNAN DR, WATERLOO, IA 50702(319) 233-2020(319) 234-1939 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2022, Apr 26, 2017 (2 updates tracked since 2017).

About Dr. Staci Anne Boon O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACI ANNE BOON O.D. (NPI 1013261510) is an individual optometrist in Waterloo, Iowa, licensed in Iowa (072761) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2012).

NPPES Registry Identity

NPI1013261510
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STACI ANNE BOONCredential: O.D.
Location Address909 E SAN MARNAN DRWaterloo, IA 50702-5611
Mailing AddressPo Box 2758Waterloo, IA 50704-2758 · (319) 235-5390 · Fax (319) 235-5607
Fax(319) 234-1939
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2012
Enumeration DateNovember 5, 2012
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1013261510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IA · 072761
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

909 E SAN MARNAN DR, Waterloo, IA 50702

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Staci Anne Boon O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901051663
PECOS Enrollment IDI20170504000326
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services35 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
909 E SAN MARNAN DR
WATERLOO, IA 50702
Ophthalmology
909 E SAN MARNAN DR
WATERLOO, IA 50702
Ophthalmology
909 E SAN MARNAN DR
WATERLOO, IA 50702
Durable Medical Equipment & Medical Supplies
909 E SAN MARNAN DR
WATERLOO, IA 50702
Ophthalmology
909 E SAN MARNAN DR
WATERLOO, IA 50702
Optometrist
909 E SAN MARNAN DR
WATERLOO, IA 50702
Optometrist
909 E SAN MARNAN DR
WATERLOO, IA 50702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Boon's NPI number?

The NPI number for Staci Boon is 1013261510. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Where is Staci Boon located?

Staci Boon practices at 909 E San Marnan Dr, Waterloo, IA 50702. The listed phone number is (319) 233-2020.

What is Staci Boon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Staci Boon enrolled in Medicare?

Yes. Staci Boon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Staci Boon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Staci Boon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Staci Boon was last updated on March 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.