DR. ELLESSE BOIWKA O.D.
NPI 1306256003
Optometrist in Mount Pleasant, SC

Q: What is Ellesse Boiwka's NPI number?

The NPI number for Ellesse Boiwka is 1306256003. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Q: What is Ellesse Boiwka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellesse Boiwka was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 02, 2014PECOS EnrolledAccepts Medicare Assignment

1296 LONG GROVE DR, MOUNT PLEASANT, SC 29464(843) 388-6200 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2021, Dec 17, 2015 (2 updates tracked since 2015).

On this page

About Dr. Ellesse Boiwka O.d. NPPES

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

DR. ELLESSE BOIWKA O.D. (NPI 1306256003) is an individual optometrist in Mount Pleasant, South Carolina, licensed in South Carolina (1857) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Charleston, and is a graduate of Southern College Of Optometry (2014).

NPPES Registry Identity

NPI1306256003

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ELLESSE BOIWKACredential: O.D.

Location Address1296 LONG GROVE DRMount Pleasant, SC 29464-9462

Mailing Address1296 Long Grove DrMount Pleasant, SC 29464-9462 · (843) 388-6200

Phone(843) 388-6200

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 2014

Enumeration DateMay 2, 2014

Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2021

✔ NPI 1306256003 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 SC · 1857

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.

1296 LONG GROVE DR, Mount Pleasant, SC 29464

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Secondary Practice Location 1

Location 17013 Dorchester Rd, Ste. DNorth Charleston, SC 29418 · Phone (843) 552-2070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.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. Ellesse Boiwka 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 ID7719289941

PECOS Enrollment IDI20160105002858

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 11

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.

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

342 services107 patients

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.

244 services239 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.

219 services183 patients

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.

109 services84 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).

107 services104 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.

100 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 4

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

DR. DAVID BRADLEY BODKIN O.D.

Optometrist

1296 LONG GROVE DR
MOUNT PLEASANT, SC 29464

Charleston County (617) 970-2252

DR. JILL ALEXIS YATES OD

Optometrist

1296 LONG GROVE DR
MT PLEASANT, SC 29464

Charleston County (843) 388-6200

THE VISION CENTER AT SEASIDE FARMS

Optometrist

1296 LONG GROVE DR
MOUNT PLEASANT, SC 29464

Charleston County (843) 388-6200

DR. SAVANNAH COKER OD

Optometrist

1296 LONG GROVE DR
MOUNT PLEASANT, SC 29464

Charleston County (256) 221-9048

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 Ellesse Boiwka's NPI number?

The NPI number for Ellesse Boiwka is 1306256003. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Ellesse Boiwka located?

Ellesse Boiwka practices at 1296 Long Grove Dr, Mount Pleasant, SC 29464. The listed phone number is (843) 388-6200.

What is Ellesse Boiwka's specialty?

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

Is Ellesse Boiwka enrolled in Medicare?

Yes. Ellesse Boiwka 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 Ellesse Boiwka accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Ellesse Boiwka 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 Ellesse Boiwka was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.