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DR. LARS BOMAN MD
NPI 1275562944
Preventive Medicine - Public Health & General Preventive Medicine in Boston, MA

Active since July 03, 2006Opted out of Medicare · through Jan 30, 2028
15 BROAD ST, #801, BOSTON, MA 02109(857) 239-9120(857) 277-1355 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lars Boman Md NPPES

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

DR. LARS BOMAN MD (NPI 1275562944) is an individual public health & general preventive medicine provider in Boston, Massachusetts, licensed in Massachusetts (60137) and active in the NPI registry since July 2006. He has opted out of Medicare through January 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275562944
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NameDR. LARS BOMANCredential: MD
Location Address15 BROAD ST, #801Boston, MA 02109-3803
Mailing Address15 Broad St, #801Boston, MA 02109-3803 · (857) 239-9120 · Fax (857) 277-1355
Phone(857) 239-9120
Fax(857) 277-1355
Sole ProprietorYes
Enumeration DateJuly 3, 2006
Last NPPES UpdateJune 8, 2016
✔ NPI 1275562944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in MA · 60137
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
15 BROAD ST, Boston, MA 02109
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Other Identifiers 14

Other1701023MA · 1701023
OtherJ07574MA · Bluecross Bluechield Of M
Other754146MA · Tufts
Other4339-7RI · Bluecross Ri
Other6351MA · Neighborhood Health Plan
Other8269MA · Harvard Pilgrim
Medicare ID-Type UnspecifiedJO7574MA
Other004624RI · Bluechip
Other89755MA · Us Healthcare
Other42894MA · Childrens Medical Securi
Other00028554MA · Boston Health Net
Other125141400MA · Acs/workers Comp
Medicare UPINA14167MA
Medicaid3037886MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Lars Boman Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2014 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2014
Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02109 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Lars Boman's NPI number?

The NPI number for Lars Boman is 1275562944. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Lars Boman located?

Lars Boman practices at 15 Broad St #801, Boston, MA 02109. The listed phone number is (857) 239-9120.

What is Lars Boman's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Lars Boman enrolled in Medicare?

No. Lars Boman has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lars Boman was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.