TERRA L BOETTCHER OD
NPI 1124125901
Optometrist in Grand Forks, ND
About Terra L Boettcher Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRA L BOETTCHER OD (NPI 1124125901) is an individual optometrist in Grand Forks, North Dakota, licensed in North Dakota (588) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2000).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Terra L Boettcher 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.
Medicare Billing Reassignment
Medicare enrollment records show Terra Boettcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- 7 clinicians in this Medicare group
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 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
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 Terra Boettcher's NPI number?
The NPI number for Terra Boettcher is 1124125901. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Terra Boettcher located?
Terra Boettcher practices at 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201. The listed phone number is (701) 732-7000.
What is Terra Boettcher's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Terra Boettcher enrolled in Medicare?
Yes. Terra Boettcher 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.
Which organization bills Medicare for Terra Boettcher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terra Boettcher reassigns Medicare benefits to North Dakota Eye Clinic, Ltd (Grand Forks, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terra Boettcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terra Boettcher accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan and 1 other insurer list Terra Boettcher 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 Terra Boettcher was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Terra L Boettcher, OD · NPI 1124125901
Optometrist provider in Grand Forks, North Dakota. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1124125901 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 588 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER, Grand Forks, ND 58201
- **Phone:** (701) 732-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** North Dakota Eye Clinic, Ltd (NPI 1972563815, Grand Forks, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2000
## Record status
- **NPPES last updated:** March 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1124125901) · Data from the CMS NPPES public registry.