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

Q: 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.

Q: What is Ralph Boom's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Delaware County Memorial Hospital

Same address

Emergency Medical Services

709 W MAIN ST
Manchester, IA 52057

Reassigned Medicare billing, Iowa enrollment
169 clinicians in this Medicare group

NPI 1326073669 (563) 927-3232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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