DR. CALVIN BOOTS OD
NPI 1619525458
Optometrist in Coon Rapids, MN
About Dr. Calvin Boots Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CALVIN BOOTS OD (NPI 1619525458) is an individual optometrist in Coon Rapids, Minnesota, licensed in Indiana (18004190A) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2019).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Calvin Boots 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.
Medicare Billing Reassignments
2Medicare enrollment records show Calvin Boots reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coon Rapids, MN 55433
- Reassigned Medicare billing, Minnesota enrollment
- 25 clinicians in this Medicare group
Saint Croix Falls, WI 54024
- Reassigned Medicare billing, Minnesota enrollment
- 241 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 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55433 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.
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.
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 Calvin Boots's NPI number?
The NPI number for Calvin Boots is 1619525458. It was assigned to this individual provider in the NPPES registry on August 26, 2019.
Where is Calvin Boots located?
Calvin Boots practices at 3777 Coon Rapids Blvd NW Ste 100, Coon Rapids, MN 55433. The listed phone number is (612) 999-2020.
What is Calvin Boots's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Calvin Boots enrolled in Medicare?
Yes. Calvin Boots 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 Calvin Boots's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Calvin Boots reassigns Medicare benefits to 2 organizations: Edina Eye Physicians And Surgeons PA (Coon Rapids, MN) and St. Croix Regional Medical Center (Saint Croix Falls, WI). 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 Calvin Boots's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Calvin Boots accept?
Health plans from HealthPartners, Providence Health Plan and Security Health Plan list Calvin Boots 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 Calvin Boots was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Calvin Boots, OD · NPI 1619525458
Optometrist provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since August 26, 2019.
## Identity
- **NPI:** 1619525458 (Entity type: Individual)
- **Enumerated:** August 26, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18004190A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3777 COON RAPIDS BLVD NW STE 100, Coon Rapids, MN 55433-2630
- **Phone:** (612) 999-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Edina Eye Physicians And Surgeons PA (NPI 1407903248, Coon Rapids, MN); St. Croix Regional Medical Center (NPI 1043240922, Saint Croix Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2019
## Record status
- **NPPES last updated:** December 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619525458) · Data from the CMS NPPES public registry.