DOUGLAS ALAN BOON MD
NPI 1356341309
Pediatrics in Grand Island, NE

Q: What is Douglas Boon's NPI number?

The NPI number for Douglas Boon is 1356341309. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is Douglas Boon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Boon was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 29, 2005PECOS Enrolled

2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803(308) 382-1100(308) 385-0796 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Douglas Alan Boon Md NPPES

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

DOUGLAS ALAN BOON MD (NPI 1356341309) is an individual pediatrics provider in Grand Island, Nebraska, licensed in Nebraska (19751) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356341309

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDOUGLAS ALAN BOONCredential: MD

Location Address2444 W FAIDLEY AVEGrand Island, NE 68803-4327

Mailing AddressPo Box 550Grand Island, NE 68802-0550 · (308) 382-1100 · Fax (308) 385-0796

Phone(308) 382-1100

Fax(308) 385-0796

Sole ProprietorNo

Enumeration DateJuly 29, 2005

Last NPPES UpdateNovember 10, 2023

NPPES CertifiedNovember 10, 2023

✔ NPI 1356341309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NE · 19751

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2444 W FAIDLEY AVE, Grand Island, NE 68803

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Other Identifiers 3

Other247NE · Bcbs

Other6408NE · Midlands Choice

Medicaid47017633037NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Alan Boon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Boon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Island Clinic Inc

Same address

Family Medicine

2444 W FAIDLEY AVE
Grand Island, NE 68803

Reassigned Medicare billing, Nebraska enrollment
30 clinicians in this Medicare group

NPI 1598766735 (130) 838-2110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68803 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

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 20

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

GRAND ISLAND CLINIC INC

Clinical Medical Laboratory