JEFFREY DAVID BOEHME (O.D.) – Optometrist, NPI 1477540433

JEFFREY DAVID BOEHME (O.D.) is a healthcare provider. based in West mifflin, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG000653 (PA). The NPI Number for JEFFREY DAVID BOEHME (O.D.) is 1477540433

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY DAVID BOEHME (O.D.)
NPI
1477540433
Phone
(412) 655-6444
Address
2027 LEBANON CHURCH RD
Enumeration Date
4 October 2005
Last Update Date
15 November 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
1153404751
Group Practice PAC ID
9931147790
Professional Enrollment ID
I20111128000511
Address ID
PA151298502SO6305XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,779 OPTOMETRY in PA

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Provider Addresses for JEFFREY DAVID BOEHME (O.D.)

  • Allegheny Health Network West Mifflin, 2027, Lebanon Church Road, Mifflin Junction, West Mifflin, Allegheny County, Pennsylvania, 15122, United States

    WEST MIFFLIN, PA 151222461

    Phone: (412) 655-6444

    Fax: (412) 655-6513

    Type: Location

  • 6305 LIBRARY RD

    SOUTH PARK, PA 151298502

    Phone: (412) 854-4130

    Fax: (412) 854-8175

    Type: Location

  • 418 HAYS RD

    VENETIA, PA 153671001

    Phone: (724) 941-3404

    Fax: (412) 655-6513

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $660.

Total Amount is formed as General ($660) + Research ($0) + Ownership ($0) = $660.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($504).

Total Amount

$660

General + Research + Ownership

Payments

16

Total payment records

General Amount

$660

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-11-28

PECOS data refreshed: 2026-06-15

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
I20111128000511IOptometryPATBD

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 retina7470$0
99214Established patient office or other outpatient visit, 30-39 minutes6459$0
92014Established patient complete exam of visual system5047$0
View full utilization report →

Insurance plans in this area (ZIP 15122)

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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: 9931147790View full group profile
NameSpecialtyState
O P T O M E T R YPA

Reviews

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Frequently asked questions

How do payers reference JEFFREY DAVID BOEHME (O.D.)?
For JEFFREY DAVID BOEHME (O.D.), use NPI 1477540433 as the unique 10-digit identifier.
Is JEFFREY DAVID BOEHME (O.D.) still an active registrant?
JEFFREY DAVID BOEHME (O.D.) carries an active NPI according to the public dataset.
What expertise is attributed to JEFFREY DAVID BOEHME (O.D.)?
JEFFREY DAVID BOEHME (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is JEFFREY DAVID BOEHME (O.D.) located near West Mifflin?
JEFFREY DAVID BOEHME (O.D.) currently maps to West Mifflin, Pennsylvania in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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