JAMES P BOYLAND O. D.
NPI 1013977230
Optometrist in Wilmington, DE

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
4605 KIRKWOOD HWY STE A, WILMINGTON, DE 19808(302) 999-7171(302) 993-7863 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Oct 13, 2021, Dec 19, 2015 (3 updates tracked since 2015).

About James P Boyland O. D. NPPES

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

JAMES P BOYLAND O. D. (NPI 1013977230) is an individual optometrist in Wilmington, Delaware, licensed in Delaware (130001261) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1990).

NPPES Registry Identity

NPI1013977230
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES P BOYLANDCredential: O. D.
Location Address4605 KIRKWOOD HWY STE AWilmington, DE 19808-5005
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (703) 991-0514
Fax(302) 993-7863
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1990
Enumeration DateMarch 23, 2006
Last NPPES UpdateMay 30, 20243 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
NPI 1013977230 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 DE · 130001261
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.

4605 KIRKWOOD HWY STE A, Wilmington, DE 19808

Other Identifiers 2

Medicaid01114DE
Other161525705DE · Bcbs

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

James P Boyland 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 ID7618159849
PECOS Enrollment IDI20110309000995
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services75 patients
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.
31 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
86%21 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Optometrist
4605 KIRKWOOD HWY STE A
WILMINGTON, DE 19808
Optometrist
4605 KIRKWOOD HWY STE A
WILMINGTON, DE 19808
Optometrist
4605 KIRKWOOD HWY STE A
WILMINGTON, DE 19808

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 James Boyland's NPI number?

The NPI number for James Boyland is 1013977230. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is James Boyland located?

James Boyland practices at 4605 Kirkwood Hwy Ste A, Wilmington, DE 19808. The listed phone number is (302) 999-7171.

What is James Boyland's specialty?

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

Is James Boyland enrolled in Medicare?

Yes. James Boyland 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 James Boyland 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 7 other insurers list James Boyland 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 James Boyland was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.