JOHN W BOYLE IV M.D.
NPI 1225177009
Ophthalmology in Metairie, LA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
96.83/100
CMS Quality Rating
4224 HOUMA BLVD, SUITE 100 GULF SOUTH EYE ASSOCIATES, APMC, METAIRIE, LA 70006(504) 454-1000(504) 456-8010 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John W Boyle Iv M.d. NPPES

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

JOHN W BOYLE IV M.D. (NPI 1225177009) is an individual ophthalmology provider in Metairie, Louisiana, licensed in Louisiana (201770) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2003).

NPPES Registry Identity

NPI1225177009
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN W BOYLE IVCredential: M.D.
Location Address4224 HOUMA BLVD, SUITE 100 GULF SOUTH EYE ASSOCIATES, APMCMetairie, LA 70006
Mailing Address4224 Houma Blvd., Suite 100Metairie, LA 70006 · (504) 454-1000 · Fax (504) 456-8010
Fax(504) 456-8010
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2003
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMay 31, 2017
NPI 1225177009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in LA · 201770 Licensed in TN · 42067
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 201770 (LA)
4224 HOUMA BLVD, Metairie, LA 70006

Other Identifiers 2

Medicare PIN4N1496674LA
Medicaid1059536LA

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

John W Boyle Iv M.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 ID2466553953
PECOS Enrollment IDI20080716000499
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 15

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
584 services581 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.
260 services211 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).
224 services218 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
221 services186 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.
213 services206 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
125 services88 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

96.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost89.46

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.

Obstetrics & Gynecology
4224 HOUMA BLVD, SUITE 140
METAIRIE, LA 70006
Urology
4224 HOUMA BLVD, SUITE 600
METAIRIE, LA 70006
Specialist
4224 HOUMA BLVD, STE 620
METAIRIE, LA 70006
Orthopaedic Surgery
4224 HOUMA BLVD, SUITE 650
METAIRIE, LA 70006
Internal Medicine (Clinical Cardiac Electrophysiology)
4224 HOUMA BLVD, STE 300
METAIRIE, LA 70006
Surgery
4224 HOUMA BLVD, NUMBER 425
METAIRIE, LA 70006
Specialist
4224 HOUMA BLVD, SUITE 270
METAIRIE, LA 70006
Specialist
4224 HOUMA BLVD, SUITE 500
METAIRIE, LA 70006

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 John Boyle's NPI number?

The NPI number for John Boyle is 1225177009. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is John Boyle located?

John Boyle practices at 4224 Houma Blvd Suite 100 Gulf South Eye Associates, Apmc, Metairie, LA 70006. The listed phone number is (504) 454-1000.

What is John Boyle's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Boyle enrolled in Medicare?

Yes. John Boyle 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 John Boyle accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list John Boyle 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 John Boyle affiliated with any hospitals?

According to CMS data, John Boyle is affiliated with East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for John Boyle was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.