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JEFFREY DAVID BOEHME O.D.
NPI 1477540433
Optometrist in South Park, PA

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
6305 LIBRARY RD, SOUTH PARK, PA 15129(412) 854-4130(412) 854-8175 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey David Boehme O.d. NPPES

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

JEFFREY DAVID BOEHME O.D. (NPI 1477540433) is an individual optometrist in South Park, Pennsylvania, licensed in Pennsylvania (OEG000653) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1987).

NPPES Registry Identity

NPI1477540433
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFREY DAVID BOEHMECredential: O.D.
Location Address6305 LIBRARY RDSouth Park, PA 15129-8502
Mailing Address418 Hays RdVenetia, PA 15367-1001 · (724) 941-3404 · Fax (412) 655-6513
Phone(412) 854-4130
Fax(412) 854-8175
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1987
Enumeration DateOctober 4, 2005
Last NPPES UpdateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
✔ NPI 1477540433 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 PA · OEG000653
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.
6305 LIBRARY RD, South Park, PA 15129
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Other Identifiers 2

Other410036489PA · Railroad Medicare
Medicaid1725156 02PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey David Boehme 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 ID1153404751
PECOS Enrollment IDI20111128000511
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 Reassignments

2

Medicare enrollment records show Jeffrey Boehme reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Vision Associates
Same address
Optometrist
6305 LIBRARY RD
South Park, PA 15129
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1104848597 (412) 854-4130
Community Eye Care Associates
5.8 mi
Optometrist
2027 LEBANON CHURCH RD
West Mifflin, PA 15122
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1902825086 (412) 655-6496

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

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.

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.
50 services42 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.
42 services29 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.
34 services33 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.
34 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15129 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 3

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

MICHAEL S. MCCAFFREY O.D.
Optometrist
6305 LIBRARY RD
SOUTH PARK, PA 15129
Allegheny County (412) 854-4130
ALLEGHENY VISION ASSOCIATES
Optometrist
6305 LIBRARY RD
SOUTH PARK, PA 15129
Allegheny County (412) 854-4130
DR. DAVID J BOEHME O.D.
Optometrist
6305 LIBRARY RD
SOUTH PARK, PA 15129
Allegheny County (412) 854-4130

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 Jeffrey Boehme's NPI number?

The NPI number for Jeffrey Boehme is 1477540433. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Jeffrey Boehme located?

Jeffrey Boehme practices at 6305 Library Rd, South Park, PA 15129. The listed phone number is (412) 854-4130.

What is Jeffrey Boehme's specialty?

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

Is Jeffrey Boehme enrolled in Medicare?

Yes. Jeffrey Boehme 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.

Which organizations bill Medicare for Jeffrey Boehme's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Boehme reassigns Medicare benefits to 2 organizations: Allegheny Vision Associates (South Park, PA) and Community Eye Care Associates (West Mifflin, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Boehme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Boehme accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Jeffrey Boehme 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 Jeffrey Boehme was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.