NINA SHEPPARD BOAL MD
NPI 1902302581
Ophthalmology in Lansdale, PA

Q: What is Nina Boal's NPI number?

The NPI number for Nina Boal is 1902302581. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Nina Boal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nina Boal was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 03, 2018PECOS EnrolledAccepts Medicare Assignment

80.46/100

CMS Quality Rating

1000 N BROAD ST, LANSDALE, PA 19446(215) 368-1646(215) 368-8516 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Jul 15, 2022, Jul 1, 2019 (3 updates tracked since 2019).

On this page

About Nina Sheppard Boal Md NPPES

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

NINA SHEPPARD BOAL MD (NPI 1902302581) is an individual ophthalmology provider in Lansdale, Pennsylvania, licensed in Pennsylvania (MD482955) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902302581

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameNINA SHEPPARD BOALCredential: MD

Location Address1000 N BROAD STLansdale, PA 19446-1138

Mailing Address1000 N Broad StLansdale, PA 19446-1138 · (215) 368-1646 · Fax (215) 368-8516

Phone(215) 368-1646

Fax(215) 368-8516

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 3, 2018

Last NPPES UpdateJanuary 8, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2024

✔ NPI 1902302581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD482955

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1000 N BROAD ST, Lansdale, PA 19446

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Other Identifiers 1

Medicaid1902302581WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nina Sheppard Boal 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 ID6800147745

PECOS Enrollment IDI20240112000114

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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

67 services54 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services54 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

33 services33 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

26 services25 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

18 services18 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390331

Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19446 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.24

Promoting Interoperability

100

Improvement Activities

Cost

68.64

Other Providers at the Same Location NPPES 16

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

OPHTHALMIC ASSOCIATES

Optometrist

1000 N BROAD ST
LANSDALE, PA 19446

Montgomery County (215) 368-1646

MONTGOMERY SURGERY CENTER LLC.

Clinic/Center (Ambulatory Surgical)

1000 N BROAD ST, SUITE2
LANSDALE, PA 19446

Montgomery County (215) 412-9115

PLATINUM ANESTHESIA PROFESSIONAL, P.C.

Anesthesiology

1000 N BROAD ST
LANSDALE, PA 19446

Montgomery County (610) 715-2837

GEOFFREY P SCHWARTZ MD

Ophthalmology

1000 N BROAD ST
LANSDALE, PA 19446

Montgomery County (215) 368-1646

COLLEEN J CHRISTIAN MD

Ophthalmology

1000 N BROAD ST
LANSDALE, PA 19446

Montgomery County (215) 368-1646

LOUIS W SCHWARTZ MD

Ophthalmology

1000 N BROAD ST
LANSDALE, PA 19446

Montgomery County (215) 368-1646

MAXINE MARINARI II CRNA

Nurse Anesthetist, Certified Registered

1000 N BROAD ST
LANSDALE, PA 19446

Montgomery County (610) 715-2837

OPHTHALMIC ASSOCIATES, P.C.

Technician/Technologist (Optician)

1000 N BROAD ST
LANSDALE, PA 19446

Montgomery County (215) 368-0488

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 Nina Boal's NPI number?

The NPI number for Nina Boal is 1902302581. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Nina Boal located?

Nina Boal practices at 1000 N Broad St, Lansdale, PA 19446. The listed phone number is (215) 368-1646.

What is Nina Boal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nina Boal enrolled in Medicare?

Yes. Nina Boal 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.

What insurance does Nina Boal accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Nina Boal 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 Nina Boal affiliated with any hospitals?

According to CMS data, Nina Boal is affiliated with Thomas Jefferson University Hospital and Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Nina Boal was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.