BRADLEY BOYLE (O.D.) – Optometrist, NPI 1255781068

BRADLEY BOYLE (O.D.) is a healthcare provider. based in Independence, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 081562 (IA). The NPI Number for BRADLEY BOYLE (O.D.) is 1255781068

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY BOYLE (O.D.)
NPI
1255781068
Phone
(319) 334-6087
Address
1310 1st St W
Enumeration Date
13 June 2016
Last Update Date
12 September 2019

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3193346087
Graduation Year
2016 (10 years ago)
PAC ID
2466744040
Group Practice PAC ID
6204166978
Professional Enrollment ID
I20160630001910
Address ID
IA506442743IN2000XAXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for BRADLEY BOYLE (O.D.)

  • 1310 1st St W

    Independence, IA 50644

    Phone: (319) 334-6087

    Fax: (319) 334-6488

    Type: Location

  • 1310, 1st Street West, Pine Ridge Mobile Home Court, Independence, Buchanan County, Iowa, 50644, United States

    INDEPENDENCE, IA 506442316

    Phone: (319) 334-6087

    Fax: (319) 334-6488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($146).

Total Amount

$146

General + Research + Ownership

Payments

4

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

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: 2016-06-30

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
I20160630001910IOptometryIATBD

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
92250Photography of the retina267257$0
92014Established patient complete exam of visual system207206$0
99213Established patient office or other outpatient visit, 20-29 minutes180111$0
92134Imaging of retina6255$0
92004New patient complete exam of visual system5454$0
View full utilization report →

Insurance plans in this area (ZIP 50644)

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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: 6204166978View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is the standard ID for BRADLEY BOYLE (O.D.) in the U.S.?
In the U.S., BRADLEY BOYLE (O.D.) is identified by NPI 1255781068.
Is BRADLEY BOYLE (O.D.)'s NPI status active today?
Active status means BRADLEY BOYLE (O.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits BRADLEY BOYLE (O.D.)?
NPPES ties BRADLEY BOYLE (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRADLEY BOYLE (O.D.)?
BRADLEY BOYLE (O.D.) is associated with Independence, Iowa in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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