BOYD KELLY GUBLER OD
NPI 1568627305
Optometrist in Summerfield, FL

Active since July 22, 2008PECOS EnrolledAccepts Medicare Assignment
17961 S US HIGHWAY 441, SUMMERFIELD, FL 34491(801) 889-8420 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Mar 12, 2020 (2 updates tracked since 2020).

About Boyd Kelly Gubler Od NPPES

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

BOYD KELLY GUBLER OD (NPI 1568627305) is an individual optometrist in Summerfield, Florida, licensed in Florida (OPC6658) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2008).

NPPES Registry Identity

NPI1568627305
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBOYD KELLY GUBLERCredential: OD
Location Address17961 S US HIGHWAY 441Summerfield, FL 34491-8685
Mailing Address17961 S Us Highway 441Summerfield, FL 34491-8685 · (801) 889-8420
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2008
Enumeration DateJuly 22, 2008
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1568627305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in FL · OPC6658 Licensed in NH · 1101
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.
17961 S US HIGHWAY 441, Summerfield, FL 34491

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

Boyd Kelly Gubler 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 ID2567523129
PECOS Enrollment IDI20250701002387
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34491 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 6

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

Technician/Technologist (Optician)
17961 S US HIGHWAY 441
SUMMERFIELD, FL 34491
Optometrist
17961 S US HIGHWAY 441
SUMMERFIELD, FL 34491
Optometrist
17961 S US HIGHWAY 441
SUMMERFIELD, FL 34491
Technician/Technologist (Optician)
17961 S US HIGHWAY 441
SUMMERFIELD, FL 34491
Technician/Technologist (Optician)
17961 S US HIGHWAY 441
SUMMERFIELD, FL 34491
Technician/Technologist (Optician)
17961 S US HIGHWAY 441
SUMMERFIELD, FL 34491

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 Boyd Gubler's NPI number?

The NPI number for Boyd Gubler is 1568627305. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Boyd Gubler located?

Boyd Gubler practices at 17961 S Us Highway 441, Summerfield, FL 34491. The listed phone number is (801) 889-8420.

What is Boyd Gubler's specialty?

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

Is Boyd Gubler enrolled in Medicare?

Yes. Boyd Gubler 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.

When was this NPI record last updated?

The NPPES record for Boyd Gubler was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.