THOMAS E BOULDEN (OD) – Optometrist, NPI 1427052182
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
798 OPTOMETRY in WI
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Provider Addresses for THOMAS E BOULDEN (OD)
325, Butts Avenue, Tomah, Monroe County, Wisconsin, 54660, United States
TOMAH, WI 546601412
Phone: (608) 372-5951
Type: Location
PO BOX 1510
EAU CLAIRE, WI 547021510
Phone: (608) 372-5951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2005-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051026000371 | I | Optometry | WI | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 763 | 720 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 348 | 216 | $0 |
| 92134 | Imaging of retina | 207 | 148 | $0 |
| 92004 | New patient complete exam of visual system | 92 | 92 | $0 |
| 92133 | Imaging of optic nerve | 83 | 73 | $0 |
Insurance plans in this area (ZIP 54660)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | MN | |
| - | MN | |
| U R O L O G Y | WI | |
| Physician Assistant | MN |
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