Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN MATTHEW BOOZAN M.D.
NPI 1265436174
Ophthalmology in Summit, NJ

Active since June 08, 2005PECOS Enrolled
86.61/100
CMS Quality Rating
33 OVERLOOK RD, STE 407, SUMMIT, NJ 07901(908) 277-1166(908) 277-0141 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Matthew Boozan M.d. NPPES

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

DR. JOHN MATTHEW BOOZAN M.D. (NPI 1265436174) is an individual ophthalmology provider in Summit, New Jersey, licensed in New Jersey (25MA04666900) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1983).

NPPES Registry Identity

NPI1265436174
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN MATTHEW BOOZANCredential: M.D.
Location Address33 OVERLOOK RD, STE 407Summit, NJ 07901-3564
Mailing Address33 Overlook Rd, Ste 407Summit, NJ 07901-3564 · (908) 277-1166 · Fax (908) 277-0141
Fax(908) 277-0141
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1983
Enumeration DateJune 8, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1265436174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA04666900
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.
33 OVERLOOK RD, Summit, NJ 07901

Other Identifiers 3

Other40941NJ · Aetna/us Healthcare
OtherUS 287NJ · Oxford
Medicaid3313808NJ

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. John Matthew Boozan 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 ID5496935769
PECOS Enrollment IDI20110204000073
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 14

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
430 services368 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.
234 services130 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
172 services141 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.
162 services136 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
159 services125 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients

Hospital Affiliations CMS Care Compare

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

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

86.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.52
Improvement Activities40
Cost60.01

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
79%105 patients1/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
95%40 patients3/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%83 patients
Diabetes: Eye Exam
100%215 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%2,837 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
81%258 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
97%151 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,061 patients
Patients totalRate: 0% · 1,061 patients
0%1,061 patients5/55-star benchmark: 100%
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 20

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

Psychiatry & Neurology (Psychiatry)
33 OVERLOOK RD, SUITE 210
SUMMIT, NJ 07901
Nurse Practitioner
33 OVERLOOK RD
SUMMIT, NJ 07901
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Family Medicine
33 OVERLOOK RD, 103
SUMMIT, NJ 07901
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Surgery (Plastic and Reconstructive Surgery)
33 OVERLOOK RD, SUITE 310
SUMMIT, NJ 07901
Orthopaedic Surgery
33 OVERLOOK RD, SUITE 202
SUMMIT, NJ 07901
Physical Therapist
33 OVERLOOK RD, SUITE 203
SUMMIT, NJ 07901

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 Boozan's NPI number?

The NPI number for John Boozan is 1265436174. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is John Boozan located?

John Boozan practices at 33 Overlook Rd Ste 407, Summit, NJ 07901. The listed phone number is (908) 277-1166.

What is John Boozan's specialty?

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

Is John Boozan enrolled in Medicare?

Yes. John Boozan 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 Boozan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list John Boozan 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 Boozan affiliated with any hospitals?

According to CMS data, John Boozan is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for John Boozan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.