DR. MARK J BOERNER (M.D.) – Ophthalmology Physician, NPI 1003819459

DR. MARK J BOERNER (M.D.) is a healthcare provider. based in Boise, Idaho. specializing in OPHTHALMOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. M7206 (ID). The NPI Number for DR. MARK J BOERNER (M.D.) is 1003819459

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK J BOERNER (M.D.)
NPI
1003819459
Phone
(208) 344-3220
Address
111 W MAIN ST
Enumeration Date
31 May 2005
Deactivation Date
20 March 2006
Reactivation Date
31 March 2006
Last Update Date
15 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2083443220
Graduation Year
1988 (38 years ago)
PAC ID
6901710540
Group Practice PAC ID
3375457906
Professional Enrollment ID
I20100507000037
Address ID
ID837027308BO111XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

71 OPHTHALMOLOGY in ID

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Provider Addresses for DR. MARK J BOERNER (M.D.)

  • West Main Street, Downtown, Boise, Ada County, Idaho, 83735, United States

    STE 200

    BOISE, ID 837027308

    Phone: (208) 344-3220

    Fax: (208) 344-0461

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $460.

Total Amount is formed as General ($460) + Research ($0) + Ownership ($0) = $460.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Horizon Therapeutics plc ($150).

Total Amount

$460

General + Research + Ownership

Payments

14

Total payment records

General Amount

$460

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100507000037IOphthalmologyIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit11,37511$0
92285Photography of content of eyes7070$0
99204New patient office or other outpatient visit, 45-59 minutes6767$0
64612Injection of chemical for paralysis of nerve muscles on side of face3213$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 83702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375457906View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWI

Reviews

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Frequently asked questions

What is the registry number for DR. MARK J BOERNER (M.D.)?
The registry entry for DR. MARK J BOERNER (M.D.) shows NPI 1003819459.
Does the public listing show DR. MARK J BOERNER (M.D.) as active?
DR. MARK J BOERNER (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MARK J BOERNER (M.D.)?
NPPES ties DR. MARK J BOERNER (M.D.) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARK J BOERNER (M.D.)?
DR. MARK J BOERNER (M.D.) is associated with Boise, Idaho in the same public data insurers reference.
Who maintains DR. MARK J BOERNER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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