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

MARY LEANN BOOMER SCOTT O.D.
NPI 1285256859
Optometrist in Traverse City, MI

Active since May 17, 2020PECOS EnrolledAccepts Medicare Assignment
929 BUSINESS PARK DR, TRAVERSE CITY, MI 49686(231) 947-6246 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, May 17, 2020 (2 updates tracked since 2020).

About Mary Leann Boomer Scott O.d. NPPES

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

MARY LEANN BOOMER SCOTT O.D. (NPI 1285256859) is an individual optometrist in Traverse City, Michigan, licensed in Michigan (4901005448) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285256859
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARY LEANN BOOMER SCOTTCredential: O.D.
Location Address929 BUSINESS PARK DRTraverse City, MI 49686-8683
Mailing Address929 Business Park DrTraverse City, MI 49686-8683 · (231) 947-6246
Phone(231) 947-6246
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 17, 2020
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1285256859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901005448
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
929 BUSINESS PARK DR, Traverse City, MI 49686
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Other Names 1

Former Name (1)Mary Leann Boomer O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Mary Leann Boomer Scott O.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 ID5890118608
PECOS Enrollment IDI20200713002712
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 4

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.
117 services116 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.
29 services24 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
19 services18 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 13

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

JENNIFER ANN LINTZ OD
Optometrist
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246
DR. MATTHEW P MADION M.D.
Ophthalmology
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246
DR. ROSEANNA MARIE DAVID O.D.
Optometrist
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246
GRAND TRAVERSE OPHTHALMOLOGY CLINIC PC
Ophthalmology
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246
DR. RICHARD J ABBOTT O.D.
Optometrist
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246
JOHN R. MCMANUS M.D.
Ophthalmology
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246
DR. JEFFREY N WENTZLOFF M.D.
Ophthalmology
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246
DR. KENNETH H MUSSON M.D.
Ophthalmology
929 BUSINESS PARK DR
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 947-6246

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 Mary Boomer Scott's NPI number?

The NPI number for Mary Boomer Scott is 1285256859. It was assigned to this individual provider in the NPPES registry on May 17, 2020. The provider is also known as Mary Leann Boomer O.D..

Where is Mary Boomer Scott located?

Mary Boomer Scott practices at 929 Business Park Dr, Traverse City, MI 49686. The listed phone number is (231) 947-6246.

What is Mary Boomer Scott's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mary Boomer Scott enrolled in Medicare?

Yes. Mary Boomer Scott 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 Mary Boomer Scott accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Mary Boomer Scott 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 Mary Boomer Scott was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.