DR. JOSE LUIS BOGGIO MD
NPI 1851490577
Internal Medicine in Erie, PA

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
903 LONG POINT DR, ERIE, PA 16505(814) 790-4389 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jose Luis Boggio Md NPPES

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

DR. JOSE LUIS BOGGIO MD (NPI 1851490577) is an individual internal medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD 427979) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Vineland, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1851490577
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE LUIS BOGGIOCredential: MD
Location Address903 LONG POINT DRErie, PA 16505-5417
Mailing Address903 Long Point DrErie, PA 16505-5417 · (814) 790-4389
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 21, 2006
Last NPPES UpdateNovember 5, 2008
✔ NPI 1851490577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD 427979
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
903 LONG POINT DR, Erie, PA 16505

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. Jose Luis Boggio Md 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.

PECOS PAC ID5890715213
PECOS Enrollment IDI20190208002210
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 Jose Boggio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
30 NORTH PEARL STREET
Bridgeton, NJ 08302
  • Reassigned Medicare billing, New Jersey enrollment
  • 281 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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16505 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers36 claims85 services$4.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers25 claims31 services$0.72 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers11 claims11 services$17.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jose Boggio's NPI number?

The NPI number for Jose Boggio is 1851490577. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Jose Boggio located?

Jose Boggio practices at 903 Long Point Dr, Erie, PA 16505. The listed phone number is (814) 790-4389.

What is Jose Boggio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Boggio enrolled in Medicare?

Yes. Jose Boggio 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 organization bills Medicare for Jose Boggio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Boggio reassigns Medicare benefits to Community Health Care, Inc. (Bridgeton, NJ). 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 Jose Boggio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Boggio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jose Boggio 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.

Is Jose Boggio affiliated with any hospitals?

According to CMS data, Jose Boggio is affiliated with Inspira Medical Center Vineland.

When was this NPI record last updated?

The NPPES record for Jose Boggio was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.