Individual provider Active NPI

Phillip David Boyer, D.O.

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1073703757
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
005247 Issued in AZ
Practice address
1055 S Stapley Dr
Mesa, AZ 85204
Phone
(480) 892-8400
Fax
(480) 654-2868
NPI assigned
Jul 27, 2007
Last updated
May 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 005247 AZ Primary
Ophthalmology Physician 207W00000X 5101017038 MI

Addresses

Primary practice location

1055 S Stapley Dr
Mesa, AZ 85204

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

Other practice location 1

2242 W 16th St
Safford, AZ 85546-4081
Phone (928) 428-0068

Other practice location 2

825 S 20th Ave
Safford, AZ 85546-3317
Phone (602) 955-1000

Other identifiers 1

IdentifierTypeStateIssuer
434207MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000238 AZ Practitioner - Ophthalmology 0941353718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

2242 W 16TH St
Safford, AZ 85546-4081
Phone (928) 428-0068

5632 E 5TH St
Tucson, AZ 85711-2444
Phone (520) 790-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017038MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Aug 3, 2009 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jan 1, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Aug 3, 2009 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients

Locations (25 of 47)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

110 S Idaho Rd
Ste 260
Apache Junction, AZ 85119
Phone (480) 485-9580

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1114 S Higley Rd
Mesa, AZ 85206
Phone (480) 264-2295

2610 E University Dr
Mesa, AZ 85213

4760 E Falcon Dr
Mesa, AZ 85215
Phone (480) 985-7400

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 415-1027

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

5251 W Campbell Ave
Ste 102
Phoenix, AZ 85031
Phone (623) 846-7603

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

Interoperability endpoints

  • Direct secure messaging: phillip.boyer@direct.avp.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1073703757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85204",
            "telephone_number": "480-892-8400",
            "fax_number": "480-654-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2242 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855464081",
            "country_code": "US",
            "telephone_number": "928-428-0068",
            "fax_number": "928-428-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 S 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855463317",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "PHILLIP",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "005247",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101017038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434207",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.