DR. JOANNA BOMKAMP GEBHARDT (O.D.) – Optometrist, NPI 1730467549

DR. JOANNA BOMKAMP GEBHARDT (O.D.) is a healthcare provider. based in Waltham, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18003923A (IN). The NPI Number for DR. JOANNA BOMKAMP GEBHARDT (O.D.) is 1730467549

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOANNA BOMKAMP GEBHARDT (O.D.)
NPI
1730467549
Phone
Not provided
Address
289 MOODY ST
Enumeration Date
27 July 2011
Last Update Date
12 July 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3193561616
Graduation Year
2011 (15 years ago)
PAC ID
5799931127
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20220707000627
Address ID
IA522421009IO200XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:14State licenses:4Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. JOANNA BOMKAMP GEBHARDT (O.D.)

  • 289 MOODY ST

    WALTHAM, MA 024535284

    Phone:

    Type: Mailing

  • 150 S Huntington Ave

    Boston, MA 021304817

    Phone: (617) 232-9500

    Type: Location

  • 289 Moody St

    Waltham, MA 02453

    Phone: (781) 894-2127

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-2852

    Fax: (319) 356-1520

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-07

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
I20170418002735IOptometryMATBD
I20220707000627IOptometryIATBD

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 system184181$0
99213Established patient office or other outpatient visit, 20-29 minutes131102$0
92004New patient complete exam of visual system101101$0
92134Imaging of retina7873$0
99214Established patient office or other outpatient visit, 30-39 minutes6344$0
View full utilization report →

Insurance plans in this area (ZIP 02453)

Loading plans...

Provider's Procedures

DR. JOANNA BOMKAMP GEBHARDT (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92012Eye and medical examination for diagnosis and treatment, established patient3027

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: 7618884230View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. JOANNA BOMKAMP GEBHARDT (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOANNA BOMKAMP GEBHARDT (O.D.) uses 1730467549.
Can I rely on DR. JOANNA BOMKAMP GEBHARDT (O.D.) being an active provider?
As of the registry snapshot, DR. JOANNA BOMKAMP GEBHARDT (O.D.) is marked active.
What taxonomy line describes DR. JOANNA BOMKAMP GEBHARDT (O.D.)?
For research purposes, treat DR. JOANNA BOMKAMP GEBHARDT (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JOANNA BOMKAMP GEBHARDT (O.D.) list a practice location?
Patients near Waltham, Massachusetts may find DR. JOANNA BOMKAMP GEBHARDT (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

291, Dale Street, Waltham Highlands, Piety Corner, Waltham, Middlesex County, Massachusetts, 02451, United States
NPI: 1043212087
1960 Randolph Rd
NPI: 1235124389
PO BOX 789
NPI: 1962488684
446, Moody Street, South Side, Waltham, Middlesex County, Massachusetts, 02454, United States
NPI: 1043296213
381, Moody Street, South Side, Waltham, Middlesex County, Massachusetts, 02453, United States
NPI: 1194797001
909 Fellsway
NPI: 1013967389
105, Lexington Street, Central Square, Waltham, Middlesex County, Massachusetts, 02452, United States
NPI: 1275557142
1601, Trapelo Road, Waltham, Middlesex County, Massachusetts, 02451, United States
NPI: 1780786780
Boston Children's at Waltham, 9, Hope Avenue, Riverview, Waltham, Middlesex County, Massachusetts, 02453, United States
NPI: 1932264579