1. Home
  2. Directory
  3. Virginia
  4. Charlottesville
  5. Pediatrics
  6. NPI Profile

CAROL A BOERSMA M.D.
NPI 1740286509
Pediatrics in Charlottesville, VA

Active since June 24, 2005PECOS Enrolled
2325 SEMINOLE LN STE 100, CHARLOTTESVILLE, VA 22901(434) 297-7700 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carol A Boersma M.d. NPPES

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

CAROL A BOERSMA M.D. (NPI 1740286509) is an individual pediatrics provider in Charlottesville, Virginia, licensed in Virginia (0101238260) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740286509
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROL A BOERSMACredential: M.D.
Location Address2325 SEMINOLE LN STE 100Charlottesville, VA 22901-8395
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Phone(434) 297-7700
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1740286509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101238260
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2325 SEMINOLE LN STE 100, Charlottesville, VA 22901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1900 Rio East Ct, Ste ACharlottesville, VA 22901-8040 · Phone (434) 975-7777 · Fax (434) 975-7774
Location 21215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-5321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol A Boersma 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 Carol Boersma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
5.8 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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 22901 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 7

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

RACHEL HOLDER PHD
Psychologist (Clinical Child & Adolescent)
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 297-7700
JULIANA A CANAS BAENA LCSW
Social Worker (Clinical)
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 297-7700
KATHERINE D LOHR PHD, LCP
Psychologist (Clinical)
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 297-7700
MRS. JULIA M STARKS MSN, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 297-7700
JOHN E CLORE MD
Pediatrics
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 297-7700
DR. SARAH T COHEN MD
Pediatrics
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 297-7700
DR. JENNIFFER T HERRERA MD
Pediatrics (Developmental - Behavioral Pediatrics)
2325 SEMINOLE LN STE 100
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 297-7700

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 Boersma's NPI number?

The NPI number for Carol Boersma is 1740286509. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Carol Boersma located?

Carol Boersma practices at 2325 Seminole Ln Ste 100, Charlottesville, VA 22901. The listed phone number is (434) 297-7700.

What is Carol Boersma's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carol Boersma enrolled in Medicare?

Yes. Carol Boersma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Boersma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Boersma reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). 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 Boersma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Boersma accept?

Health plans from Oscar Health list Carol Boersma 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 Carol Boersma was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.