DR. MICHAEL DOUGLAS BOEHM (MD) – Ophthalmology Physician, NPI 1912984360
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
960 OPHTHALMOLOGY in IL
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Provider Addresses for DR. MICHAEL DOUGLAS BOEHM (MD)
Tanglefoot Lane, Bettendorf, Scott County, Iowa, 52722, United States
EYE SURGEONS ASSOCIATES PC
BETTENDORF, IA 527221650
Phone: (563) 323-2020
Fax: (563) 328-5694
Type: Mailing
Hy-Vee, 2001, 5th Street, Silvis, Rock Island County, Illinois, 61282, United States
SUITE 49 EYE SURGEONS ASSOCIATES PC
SILVIS, IL 61282
Phone: (309) 792-2020
Fax: (309) 792-4753
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $309.
Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Harrow Eye, LLC ($153).
Total Amount
$309
General + Research + Ownership
Payments
6
Total payment records
General Amount
$309
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Harrow Eye, LLC | $153 |
| Bausch & Lomb Americas Inc. | $125 |
| Apellis Pharmaceuticals, Inc. | $17 |
| Mallinckrodt Hospital Products Inc. | $13 |
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: 2010-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050614000759 | I | Ophthalmology | IL | TBD |
| I20100604000845 | I | Ophthalmology | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 957 | 829 | $0 |
| 92014 | Established patient complete exam of visual system | 361 | 359 | $0 |
| 92133 | Imaging of optic nerve | 125 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 78 | $0 |
| 92134 | Imaging of retina | 94 | 90 | $0 |
Insurance plans in this area (ZIP 52722)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IA | |
| O P H T H A L M O L O G Y | IA | |
| O P H T H A L M O L O G Y | NY | |
| O P H T H A L M O L O G Y | IA | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IA | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IA |
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