MICHAEL IRWIN BOONE M.D.
NPI 1467494203
Ophthalmology in Visalia, CA

Q: What is Michael Boone's NPI number?

The NPI number for Michael Boone is 1467494203. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Michael Boone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Boone was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 June 12, 2006PECOS EnrolledAccepts Medicare Assignment

76.82/100

CMS Quality Rating

5021 W NOBLE AVE, SUITE A, VISALIA, CA 93277(559) 627-9393(559) 627-1624 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Irwin Boone M.d. NPPES

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

MICHAEL IRWIN BOONE M.D. (NPI 1467494203) is an individual ophthalmology provider in Visalia, California, licensed in California (G83015) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1992).

NPPES Registry Identity

NPI1467494203

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMICHAEL IRWIN BOONECredential: M.D.

Location Address5021 W NOBLE AVE, SUITE AVisalia, CA 93277-8310

Mailing Address5021 W Noble Ave, Suite AVisalia, CA 93277-8310 · (559) 627-9393 · Fax (559) 627-1624

Phone(559) 627-9393

Fax(559) 627-1624

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1992

Enumeration DateJune 12, 2006

Last NPPES UpdateSeptember 23, 2008

✔ NPI 1467494203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · G83015

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

5021 W NOBLE AVE, Visalia, CA 93277

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Other Identifiers 3

Medicaid00G830150CA

Medicare PIN00G830152CA

Medicare UPING38885

Accepted Insurance

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

Michael Irwin Boone M.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 ID1456248814

PECOS Enrollment IDI20040309000995

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 13

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.

740 services704 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

664 services225 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

379 services187 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.

358 services319 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

302 services292 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.

301 services267 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).

189 services169 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

183 services130 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.

149 services149 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.

135 services103 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.

65 services63 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

50 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93277 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

22.76

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

99%277 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

100%311 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%1,688 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

89%185 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,046 patients

Patients screened: 100% · 1,046 patients

100%55 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,725 patients

Patients totalRate: 0% · 1,725 patients

0%1,725 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

4 suppliers53 claims53 services$62.12 avg. paid by Medicare

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier15 claims27 services$31.11 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers20 claims38 services$45.01 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 supplier17 claims33 services$48.86 avg. paid by Medicare

U-v lens, per lens V2755

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier17 claims34 services$11.84 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 8

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

EYE SURGICAL & MEDICAL ASSOCIATES, INC.

Specialist

5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277

Tulare County (559) 627-9393

ALLEN JAY DENISON O.D.

Optometrist

5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277

Tulare County (559) 627-9393

NOBLE SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

5021 W NOBLE AVE, SUITE B
VISALIA, CA 93277

Tulare County (559) 625-2020

CHIA-WEN ANNIE CHANG M.D.

Ophthalmology

5021 W NOBLE AVE, STE A
VISALIA, CA 93277

Tulare County (559) 627-9393

BARRY ROGER SMITH M.D.

Ophthalmology

5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277

Tulare County (559) 627-9393

JUDITH LANE RANSBERGER O.D.

Optometrist

5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277

Tulare County (559) 627-9393

MICHAEL J HENRY MD

Ophthalmology

5021 W NOBLE AVE, SUITE A
VISALIA, CA 93277

Tulare County (559) 627-9393

DR. LAURA RODRIGUEZ OD

Optometrist

5021 W NOBLE AVE
VISALIA, CA 93277

Tulare County (559) 627-9393

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 Michael Boone's NPI number?

The NPI number for Michael Boone is 1467494203. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Michael Boone located?

Michael Boone practices at 5021 W Noble Ave Suite A, Visalia, CA 93277. The listed phone number is (559) 627-9393.

What is Michael Boone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Boone enrolled in Medicare?

Yes. Michael Boone 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 Michael Boone accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Michael Boone 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 Michael Boone was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.