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JESSICA MILLER BOECKMANN M.D.
NPI 1629210679
Ophthalmology in Pasadena, CA

Active since April 06, 2009PECOS Enrolled
75/100
CMS Quality Rating
100 E CALIFORNIA BLVD, PASADENA, CA 91105(800) 898-2020 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2020, Aug 29, 2018 (2 updates tracked since 2018).

About Jessica Miller Boeckmann M.d. NPPES

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

JESSICA MILLER BOECKMANN M.D. (NPI 1629210679) is an individual ophthalmology provider in Pasadena, California, licensed in California (A124361) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (2009).

NPPES Registry Identity

NPI1629210679
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJESSICA MILLER BOECKMANNCredential: M.D.
Location Address100 E CALIFORNIA BLVDPasadena, CA 91105
Mailing Address1403 N Tustin Ave Ste 399Santa Ana, CA 92705-8691 · (714) 884-3961 · Fax (714) 884-3458
Phone(800) 898-2020
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2009
Enumeration DateApril 6, 2009
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1629210679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A124361
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.
100 E CALIFORNIA BLVD, Pasadena, CA 91105
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11403 N Tustin Ave Ste 399Santa Ana, CA 92705-8691 · Phone (714) 884-3961 · Fax (714) 884-3458
Location 21640 Newport Blvd Ste 220Costa Mesa, CA 92627-3786 · Phone (800) 898-2020 · Fax (844) 897-3788

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 Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Jessica Miller Boeckmann M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234364464
PECOS Enrollment IDI20131024001166
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 Reassignment

Medicare enrollment records show Jessica Boeckmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Retina Institute Of California Medical Group, A California Medical Par
Same address
Ophthalmology
100 E CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 83 clinicians in this Medicare group
NPI 1760541569 (800) 898-2020

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 11

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 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.
331 services229 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.
228 services167 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.
204 services114 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).
139 services106 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.
135 services102 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.
119 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 13

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

JESSICA WAI CHUNG YOUNG OD
Optometrist
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (800) 898-2020
TRILOGY EYE MEDICAL GROUP INC
Ophthalmology
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 568-8838
DR. JEFFREY LYLE STEVENS M.D.
Ophthalmology (Retina Specialist)
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 568-8838
LING BEI MD
Ophthalmology
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (301) 362-3431
DR. MICHAEL F WARD II DO
Ophthalmology (Retina Specialist)
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (570) 271-6531
DR. JEFFREY JINO JEONG O.D.
Optometrist
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 269-5348
RETINA INSTITUTE OF CALIFORNIA
Ophthalmology
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 269-5348
ALEXANDER FRANCIS CHEN
Ophthalmology
100 E CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (800) 898-2020

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 Jessica Boeckmann's NPI number?

The NPI number for Jessica Boeckmann is 1629210679. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Jessica Boeckmann located?

Jessica Boeckmann practices at 100 E California Blvd, Pasadena, CA 91105. The listed phone number is (800) 898-2020.

What is Jessica Boeckmann's specialty?

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

Is Jessica Boeckmann enrolled in Medicare?

Yes. Jessica Boeckmann is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Boeckmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Boeckmann reassigns Medicare benefits to Retina Institute Of California Medical Group, A California Medical Par (Pasadena, CA). 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 Jessica Boeckmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Boeckmann accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 Jessica Boeckmann 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 Jessica Boeckmann was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.