Jeffrey A Boomer, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04-31763 Issued in KS

Practice address

1100 N Topeka
Wichita, KS 67214-2810

Phone

(316) 263-6273

Fax

(316) 263-5568

NPI assigned

Nov 9, 2005

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Ophthalmology

Education

University of Kansas School of Med (KC/Wich/Sal), 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Surgery Consultants PAGroup PAC ID 2062454622, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.02 of 100Reported as group

Quality

98.3

Improvement activities

40

Cost

75.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: boomermd.vsc@direct.ocuhub.com

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.

• Vision Surgery Consultants PA

  • Ophthalmology Physician
  • Wichita, KS
  • NPI 1922104470
  Medicare reassignment Care Compare group
• Vision Anesthesia

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
  • NPI 1346514130
  NPD (past)
• Dean McGee Eye Institute

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1245209675
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1396726964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N TOPEKA",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142810",
            "telephone_number": "316-263-6273",
            "fax_number": "316-263-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N TOPEKA",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142810",
            "telephone_number": "316-263-6273",
            "fax_number": "316-263-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-31763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421070C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mervin L Bontrager, LSCSW
• Terry Bontrager, PHARM.D.
• Boob Nerds LLC
• Anita Louise Bookout, LMSW
• Lisa Beth Bookter, PTA
• Erica Boone
• Julia Emeline Boone, LSCSW
• Tayla Booth
• Andrea Marie Boothe, DDS
• Maria Boothe

• Ophthalmology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.