DR. AVERY B BOARDMAN OD
NPI 1073603718
Optometrist in Wysox, PA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
889 CRAFTMASTER ROAD, WYSOX, PA 18854(570) 265-3668(570) 265-8936 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Avery B Boardman Od NPPES

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

DR. AVERY B BOARDMAN OD (NPI 1073603718) is an individual optometrist in Wysox, Pennsylvania, licensed in Pennsylvania (OEG000896) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1991).

NPPES Registry Identity

NPI1073603718
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. AVERY B BOARDMANCredential: OD
Location Address889 CRAFTMASTER ROADWysox, PA 18854-0000
Mailing Address889 Craftmaster Road, Po Box 331Wysox, PA 18854-0000 · (570) 265-3668 · Fax (570) 265-8936
Fax(570) 265-8936
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1991
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 23, 2011
NPI 1073603718 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 PA · OEG000896
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.
889 CRAFTMASTER ROAD, Wysox, PA 18854

Other Identifiers 3

Medicaid0012690190004PA
Medicare PIN690610PA
Medicare UPINU24495PA

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. Avery B Boardman Od 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 ID5092828905
PECOS Enrollment IDI20110602000181
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 8

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.
245 services204 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.
229 services185 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
72 services48 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
69 services69 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
62 services54 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
36 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18854 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.7
Improvement Activities40

Other Providers at the Same Location NPPES

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

Optometrist
889 CRAFTMASTER ROAD
WYSOX, PA 18854

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 Avery Boardman's NPI number?

The NPI number for Avery Boardman is 1073603718. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Avery Boardman located?

Avery Boardman practices at 889 Craftmaster Road, Wysox, PA 18854. The listed phone number is (570) 265-3668.

What is Avery Boardman's specialty?

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

Is Avery Boardman enrolled in Medicare?

Yes. Avery Boardman 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 Avery Boardman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Avery Boardman 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 Avery Boardman was last updated on March 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.