CAROL B BOREN MD
NPI 1578505822
Ophthalmology in Brownwood, TX
About Carol B Boren Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL B BOREN MD (NPI 1578505822) is an individual ophthalmology provider in Brownwood, Texas, licensed in Texas (K2310) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Stephenvill, and is a graduate of University Of New Mexico School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Carol B Boren Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Carol Boren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stephenville, TX 76401
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Health Harris Methodist Hospital Stephenvill
Acute Care Hospitals · Stephenville, TXHendrick Medical Center Brownwood
Acute Care Hospitals · Brownwood, TXComanche County Medical Center
Critical Access Hospitals · Comanche, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROWNWOOD, TX 76801
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 Carol Boren's NPI number?
The NPI number for Carol Boren is 1578505822. It was assigned to this individual provider in the NPPES registry on June 12, 2006.
Where is Carol Boren located?
Carol Boren practices at 109 S Park Dr, Brownwood, TX 76801. The listed phone number is (325) 646-9956.
What is Carol Boren's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Carol Boren enrolled in Medicare?
Yes. Carol Boren 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 organization bills Medicare for Carol Boren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Boren reassigns Medicare benefits to Eye Care Consultants, PLLC (Stephenville, TX). The 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 Carol Boren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Boren accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Carol Boren 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.
Is Carol Boren affiliated with any hospitals?
According to CMS data, Carol Boren is affiliated with Texas Health Harris Methodist Hospital Stephenvill, Hendrick Medical Center Brownwood and Comanche County Medical Center.
When was this NPI record last updated?
The NPPES record for Carol Boren was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Carol B Boren, MD · NPI 1578505822
Ophthalmology physician in Brownwood, Texas. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1578505822 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** K2310 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 109 S PARK DR, Brownwood, TX 76801-5917
- **Phone:** (325) 646-9956 · **Fax:** (325) 641-1010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Eye Care Consultants, PLLC (NPI 1124589643, Stephenville, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 81520N (TX); Other K2310 (TX); Medicare UPIN G84920 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1578505822) · Data from the CMS NPPES public registry.