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RALPH RIED BOOM M.D.
NPI 1720086275
Family Medicine in Manchester, IA

Active since July 08, 2005PECOS Enrolled
709 W MAIN ST, MANCHESTER, IA 52057(563) 927-7985(563) 927-7934 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2020, Jul 10, 2019 (2 updates tracked since 2019).

About Ralph Ried Boom M.d. NPPES

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

RALPH RIED BOOM M.D. (NPI 1720086275) is an individual family medicine provider in Manchester, Iowa, licensed in Iowa (22897) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720086275
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRALPH RIED BOOMCredential: M.D.
Location Address709 W MAIN STManchester, IA 52057-1526
Mailing AddressP.o. Box 359, 709 W Main StManchester, IA 52057-0359 · (563) 927-7985 · Fax (563) 927-7934
Phone(563) 927-7985
Fax(563) 927-7934
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1720086275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 22897
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
709 W MAIN ST, Manchester, IA 52057
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Other Identifiers 1

Medicaid0210831IA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralph Ried Boom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 52057 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$104.60 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MRS. RHONDA GOTTO LISW
Social Worker (Clinical)
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (563) 927-7330
CRAIG B THOMPSON D.O.
Family Medicine
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (563) 927-7986
BLANKA DIVISOVA M.D.
Family Medicine
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (563) 927-7777
MRS. CONNIE SETH LISW
Social Worker (Clinical)
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (563) 927-7330
MS. TONYA J HASLEIET ARNP
Nurse Practitioner (Family)
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (563) 927-3232
CARLY ROSKOP
Nurse Practitioner (Family)
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (563) 927-3232
CEDAR VALLEY MEDICAL SPECIALISTS PC
Durable Medical Equipment & Medical Supplies
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (319) 833-5381
CLINTON THOMAS CUMMINGS D.O.
Family Medicine
709 W MAIN ST
MANCHESTER, IA 52057
Delaware County (563) 927-3232

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 Ralph Boom's NPI number?

The NPI number for Ralph Boom is 1720086275. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Ralph Boom located?

Ralph Boom practices at 709 W Main St, Manchester, IA 52057. The listed phone number is (563) 927-7985.

What is Ralph Boom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ralph Boom enrolled in Medicare?

Yes. Ralph Boom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ralph Boom was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.