DR. CHAD WILLIAM CLEVERLY (O.D.) – Optometrist, NPI 1386660959

DR. CHAD WILLIAM CLEVERLY (O.D.) is a healthcare provider. based in Boise, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-1015 (ID). The NPI Number for DR. CHAD WILLIAM CLEVERLY (O.D.) is 1386660959

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD WILLIAM CLEVERLY (O.D.)
NPI
1386660959
Phone
(208) 322-2020
Address
3293 N MILWAUKEE ST
Enumeration Date
15 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2083222020
Graduation Year
1999 (27 years ago)
PAC ID
4082748454
Group Practice PAC ID
4284768656
Professional Enrollment ID
I20100823000235
Address ID
ID837044446BO3293XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

268 OPTOMETRY in ID

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Provider Addresses for DR. CHAD WILLIAM CLEVERLY (O.D.)

  • 3293, North Milwaukee Street, West Bench Neighborhood Association, Boise, Ada County, Idaho, 83704, United States

    BOISE, ID 837044446

    Phone: (208) 322-2020

    Fax: (208) 322-1192

    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 2 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($111).

Total Amount

$125

General + Research + Ownership

Payments

2

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

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: 2010-08-23

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
I20100823000235IOptometryIDTBD

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
92014Established patient complete exam of visual system180180$0
99213Established patient office or other outpatient visit, 20-29 minutes149106$0
92250Photography of the retina140108$0
92133Imaging of optic nerve6844$0
92134Imaging of retina3531$0
View full utilization report →

Insurance plans in this area (ZIP 83704)

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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: 4284768656View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. CHAD WILLIAM CLEVERLY (O.D.) in U.S. healthcare records?
The official identifier for DR. CHAD WILLIAM CLEVERLY (O.D.) is NPI 1386660959.
Is there an active status for DR. CHAD WILLIAM CLEVERLY (O.D.)?
For scheduling context, DR. CHAD WILLIAM CLEVERLY (O.D.) is shown as active in the registry.
How would a patient describe DR. CHAD WILLIAM CLEVERLY (O.D.)'s focus?
For DR. CHAD WILLIAM CLEVERLY (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CHAD WILLIAM CLEVERLY (O.D.)?
Travel planning: use Boise, Idaho as the reference point for DR. CHAD WILLIAM CLEVERLY (O.D.), then confirm.
Can I trust this NPI listing for DR. CHAD WILLIAM CLEVERLY (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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