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

Q: 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.

Q: What is Staci Boon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Staci Boon was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: November 01, 2026.

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

On this page

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

Phone(319) 233-2020

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Staci Boon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedar Valley Medical Specialists PC

1.1 mi

Orthopaedic Surgery

4150 KIMBALL AVE
Waterloo, IA 50704

Reassigned Medicare billing, Iowa enrollment
49 clinicians in this Medicare group

NPI 1497794242 (319) 235-5390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MATTHEW KREWER OD

Optometrist