DR. JACKSON WYATT BOICE MD
NPI 1104319664
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since June 10, 2018PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110(314) 362-7200(314) 747-4189 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Jun 21, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Jackson Wyatt Boice Md NPPES

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

DR. JACKSON WYATT BOICE MD (NPI 1104319664) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Missouri (2023006970) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Olathe Medical Center, and is a graduate of University Of Arkansas College Of Medicine (2018).

NPPES Registry Identity

NPI1104319664
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JACKSON WYATT BOICECredential: MD
Location Address510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGYSaint Louis, MO 63110-1016
Mailing AddressPo Box 60352Saint Louis, MO 63160-0352 · (314) 362-7200 · Fax (314) 747-4189
Fax(314) 747-4189
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2018
Enumeration DateJune 10, 2018
Last NPPES UpdateApril 25, 20244 updates tracked since enumeration
NPI 1104319664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MO · 2023006970
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
510 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110

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. Jackson Wyatt Boice Md 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 ID6002164548
PECOS Enrollment IDI20230618000141, I20240725000271
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 72

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
392 services351 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
188 services181 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
158 services128 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
144 services126 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
141 services138 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
133 services104 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170182
Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County
Emergency services

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO
OwnershipGovernment - Local
CMS Certification Number261324
Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

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

Radiology (Neuroradiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110

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 Jackson Boice's NPI number?

The NPI number for Jackson Boice is 1104319664. It was assigned to this individual provider in the NPPES registry on June 10, 2018.

Where is Jackson Boice located?

Jackson Boice practices at 510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110. The listed phone number is (314) 362-7200.

What is Jackson Boice's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jackson Boice enrolled in Medicare?

Yes. Jackson Boice 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 Jackson Boice accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Jackson Boice 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.

Is Jackson Boice affiliated with any hospitals?

According to CMS data, Jackson Boice is affiliated with Olathe Medical Center, Menorah Medical Center, Centerpoint Medical Center, Lee's Summit Medical Center and Cass Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jackson Boice was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.