DR. MICHAEL DOUGLAS BOEHM (MD) – Ophthalmology Physician, NPI 1912984360

DR. MICHAEL DOUGLAS BOEHM (MD) is a healthcare provider. based in Bettendorf, Iowa. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 35141 (IA). The NPI Number for DR. MICHAEL DOUGLAS BOEHM (MD) is 1912984360

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DOUGLAS BOEHM (MD)
NPI
1912984360
Phone
(563) 323-2020
Address
777 TANGLEFOOT LN
Enumeration Date
28 December 2005
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3097932020
Graduation Year
1998 (28 years ago)
PAC ID
2264476985
Group Practice PAC ID
4183521206
Professional Enrollment ID
I20050614000759
Address ID
IL612017102RO4731XCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

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: 2010-06-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050614000759IOphthalmologyILTBD
I20100604000845IOphthalmologyIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes957829$0
92014Established patient complete exam of visual system361359$0
92133Imaging of optic nerve125123$0
99214Established patient office or other outpatient visit, 30-39 minutes10078$0
92134Imaging of retina9490$0
View full utilization report →

Insurance plans in this area (ZIP 52722)

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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: 4183521206View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P T O M E T R YIA

Reviews

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Frequently asked questions

What NPI should I save for DR. MICHAEL DOUGLAS BOEHM (MD)?
Save NPI 1912984360 if you need a stable reference for DR. MICHAEL DOUGLAS BOEHM (MD).
Does this profile mean DR. MICHAEL DOUGLAS BOEHM (MD) is currently active?
Yes — DR. MICHAEL DOUGLAS BOEHM (MD) appears active in the national provider directory.
What does DR. MICHAEL DOUGLAS BOEHM (MD) treat or focus on?
Patients typically see DR. MICHAEL DOUGLAS BOEHM (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL DOUGLAS BOEHM (MD) practice in Iowa?
You will see Bettendorf, Iowa on file for DR. MICHAEL DOUGLAS BOEHM (MD) alongside any extra practice locations.
How can I contact DR. MICHAEL DOUGLAS BOEHM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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