ARTHUR R BOERNER MD PSC
NPI 1184612236
Obstetrics & Gynecology in Winchester, IN

Q: What is Arthur Boerner's NPI number?

The NPI number for Arthur Boerner is 1184612236. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Arthur Boerner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Arthur Boerner was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 12, 2005PECOS Enrolled

67.13/100

CMS Quality Rating

409 SE GREENVILLE AVE, WINCHESTER, IN 47394(765) 584-0480 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2023, Jun 8, 2022 (2 updates tracked since 2022).

On this page

About Arthur R Boerner Md Psc NPPES

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

ARTHUR R BOERNER MD PSC (NPI 1184612236) is an individual obstetrics & gynecology provider in Winchester, Indiana, licensed in Indiana (01029076A) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bedford.

NPPES Registry Identity

NPI1184612236

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameARTHUR R BOERNERCredential: MD PSC

Location Address409 SE GREENVILLE AVEWinchester, IN 47394-9464

Mailing Address409 Se Greenville AveWinchester, IN 47394-9464

Phone(765) 584-0480

Sole ProprietorYes

Enumeration DateOctober 12, 2005

Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2024

✔ NPI 1184612236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01029076A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

409 SE GREENVILLE AVE, Winchester, IN 47394

Open in Google Maps ↗

Secondary Practice Location 1

Location 12516 Q StBedford, IN 47421-4928 · Phone (812) 275-4228

Other Identifiers 1

Medicaid200305100AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 (PECOS)

Arthur R Boerner Md Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Arthur Boerner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Vincent Medical Group, Inc.

Same address

Orthopaedic Surgery

409 E GREENVILLE AVE
Winchester, IN 47394

Reassigned Medicare billing, Indiana enrollment
945 clinicians in this Medicare group

NPI 1144513375 (765) 584-0251

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47394 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

67.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

32.67

Promoting Interoperability

100

Improvement Activities

Cost

57.77

Reported Quality Measures

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

83%58 patients

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%35 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

64%190 patients3/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

46%48 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

85%190 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

92%190 patients5/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

65%190 patients

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 6

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

AVA ELIZABETH SHARROW-DUCSAY OTR

Occupational Therapist