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JACOB OTTO BOECKMANN MD
NPI 1861666703
Otolaryngology - Facial Plastic Surgery in Laguna Niguel, CA

Active since April 22, 2008PECOS Enrolled
100/100
CMS Quality Rating
25500 RANCHO NIGUEL RD STE 120, LAGUNA NIGUEL, CA 92677(949) 273-3112(833) 719-8711 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Otto Boeckmann Md NPPES

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

JACOB OTTO BOECKMANN MD (NPI 1861666703) is an individual facial plastic surgery provider in Laguna Niguel, California, licensed in California (A123972) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861666703
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameJACOB OTTO BOECKMANNCredential: MD
Location Address25500 RANCHO NIGUEL RD STE 120Laguna Niguel, CA 92677-7388
Mailing Address25500 Rancho Niguel Rd Ste 120Laguna Niguel, CA 92677-7388 · (949) 276-3112 · Fax (833) 719-8711
Phone(949) 273-3112
Fax(833) 719-8711
Sole ProprietorNo
Enumeration DateApril 22, 2008
Last NPPES UpdateJune 12, 2019
✔ NPI 1861666703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · A123972
Definition
An otolaryngologist who specializes in facial plastic surgery.
25500 RANCHO NIGUEL RD STE 120, Laguna Niguel, CA 92677
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Otto Boeckmann Md 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 Jacob Boeckmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Head & Neck Surgeons
20 mi
Otolaryngology
101 THE CITY DR S, BLDG 56, ROUTE 81, STE 500
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 47 clinicians in this Medicare group
NPI 1669437075 (714) 456-6655

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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

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 Jacob Boeckmann's NPI number?

The NPI number for Jacob Boeckmann is 1861666703. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Jacob Boeckmann located?

Jacob Boeckmann practices at 25500 Rancho Niguel Rd Ste 120, Laguna Niguel, CA 92677. The listed phone number is (949) 273-3112.

What is Jacob Boeckmann's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Jacob Boeckmann enrolled in Medicare?

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

Which organization bills Medicare for Jacob Boeckmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Boeckmann reassigns Medicare benefits to University Head & Neck Surgeons (Orange, 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 Jacob Boeckmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Boeckmann was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.