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THOMAS E BOULDEN OD
NPI 1427052182
Optometrist in Tomah, WI

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
325 BUTTS AVE, TOMAH, WI 54660(608) 372-5951 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2020, May 28, 2019, Oct 3, 2018 (3 updates tracked since 2018).

About Thomas E Boulden Od NPPES

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

THOMAS E BOULDEN OD (NPI 1427052182) is an individual optometrist in Tomah, Wisconsin, licensed in Wisconsin (2618) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1995).

NPPES Registry Identity

NPI1427052182
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTHOMAS E BOULDENCredential: OD
Location Address325 BUTTS AVETomah, WI 54660-1412
Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (608) 372-5951
Phone(608) 372-5951
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1995
Enumeration DateJune 10, 2005
Last NPPES UpdateSeptember 16, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1427052182 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 WI · 2618
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.
325 BUTTS AVE, Tomah, WI 54660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.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

Thomas E Boulden Od 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 ID840217113
PECOS Enrollment IDI20051026000371
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 10

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.
762 services704 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.
315 services179 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.
217 services150 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).
76 services66 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.
66 services66 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.
57 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims13 services$54.67 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims18 services$54.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JULIE ELIZABETH GOODHUE OTR
Occupational Therapist
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 785-0940
MRS. KATHRYN J REEDICH P.T.
Physical Therapist
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
SHAREL A MARTIN MD
Emergency Medicine
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
LISA C CLARK
Social Worker (Clinical)
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
ANDREW LAST MD
Family Medicine
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5999
JANE E WEISS PA
Physician Assistant (Medical)
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
MEGAN R GRYGLESKI PA-C
Physician Assistant
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5951
ABBEY ALICE ROSE CNM
Advanced Practice Midwife
325 BUTTS AVE
TOMAH, WI 54660
Monroe County (608) 372-5999

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 Thomas Boulden's NPI number?

The NPI number for Thomas Boulden is 1427052182. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Thomas Boulden located?

Thomas Boulden practices at 325 Butts Ave, Tomah, WI 54660. The listed phone number is (608) 372-5951.

What is Thomas Boulden's specialty?

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

Is Thomas Boulden enrolled in Medicare?

Yes. Thomas Boulden 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 Thomas Boulden accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Thomas Boulden 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 Thomas Boulden was last updated on September 16, 2020. 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.