Active NPI 1467494203 Individual Practitioner Male Practitioner

Dr. Michael Irwin Boone , MD

Ophthalmology • Visalia, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Boone, MD is a certified Ophthalmology practicing in Visalia, CA. With approximately 34 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1992, Dr. Boone delivers high-quality medical care to the local community at 5021 W NOBLE AVE.

Dr. Boone is affiliated with Eye Surgical And Medical Associates, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5021 W Noble Ave
Suite A

Visalia, CA 932778310

Telephone 5596279393

Fax 5596271624

Associated Practice Facility / Clinic

🏢 Noble Surgery Center Facility NPI 1235187972

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Visalia, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +10.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Visalia, CA (3116 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boone (34 Years) 34 Yrs

Visalia Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	740	704	$334.00	$130.39
92136 Measurement of corneal curvature and depth of eye	664	225	$124.00	$26.46
66984 Removal of cataract with insertion of lens	379	187	$1257.73	$478.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	319	$331.00	$129.80
92250 Photography of the retina	302	292	$99.00	$38.11
92134 Imaging of retina	301	267	$107.00	$41.76
92133 Imaging of optic nerve	189	169	$97.00	$37.62
66821 Removal of recurring cataract in lens capsule using a laser	183	130	$813.00	$319.37
92004 New patient complete exam of visual system	149	149	$395.00	$153.59
99213 Established patient office or other outpatient visit, typically 15 minutes	135	103	$234.00	$92.15
92083 Exam of visual field with extended testing	65	63	$167.00	$66.32
66982 Complex removal of cataract with insertion of prosthetic lens	50	27	$1687.84	$645.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$429.00	$169.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	892	842	$165.19	$133.54
92136 Measurement of corneal curvature and depth of eye	358	213	$200.00	$41.62
66984 Removal of cataract with insertion of lens	297	167	$2223.45	$538.22
92250 Photography of the retina	289	286	$95.00	$39.34
92134 Imaging of retina	221	199	$94.00	$42.47
66821 Removal of recurring cataract in lens capsule using a laser	187	130	$904.81	$326.70
92004 New patient complete exam of visual system	175	175	$199.13	$158.39
92133 Imaging of optic nerve	164	157	$94.00	$38.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	110	$141.52	$132.71
99213 Established patient office or other outpatient visit, typically 15 minutes	95	79	$95.00	$93.93
66982 Complex removal of cataract with insertion of prosthetic lens	63	35	$2247.62	$711.00
92083 Exam of visual field with extended testing	62	61	$153.00	$66.38
92012 Established patient problem focused exam of visual system	19	19	$114.00	$95.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	810	759	$165.12	$133.35
92136 Measurement of corneal curvature and depth of eye	448	271	$200.00	$43.27
66984 Removal of cataract with insertion of lens	389	217	$2230.96	$541.51
92250 Photography of the retina	325	317	$95.00	$39.15
66821 Removal of recurring cataract in lens capsule using a laser	240	164	$903.75	$325.46
92004 New patient complete exam of visual system	196	196	$198.00	$157.18
92133 Imaging of optic nerve	164	157	$94.00	$38.88
92134 Imaging of retina	158	142	$94.00	$42.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	135	$140.00	$132.86
99213 Established patient office or other outpatient visit, typically 15 minutes	118	101	$95.00	$94.26
92083 Exam of visual field with extended testing	58	58	$153.00	$66.78
66982 Complex removal of cataract with insertion of prosthetic lens	52	34	$2400.00	$767.37
92012 Established patient problem focused exam of visual system	25	24	$114.00	$94.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	822	771	$165.00	$134.56
92136 Measurement of corneal curvature and depth of eye	343	215	$200.00	$48.31
92250 Photography of the retina	322	317	$95.00	$41.58
66984 Removal of cataract with insertion of lens	312	168	$2107.77	$517.76
92004 New patient complete exam of visual system	197	197	$198.00	$159.59
92133 Imaging of optic nerve	177	164	$94.00	$39.46
66821 Removal of recurring cataract in lens capsule using a laser	170	126	$905.29	$330.58
92134 Imaging of retina	160	138	$94.00	$43.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	132	$140.00	$135.83
99213 Established patient office or other outpatient visit, typically 15 minutes	125	98	$95.00	$95.70
92083 Exam of visual field with extended testing	82	80	$153.00	$67.86
66982 Complex removal of cataract with insertion of prosthetic lens	34	24	$2400.00	$760.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	826	774	$165.00	$134.66
92250 Photography of the retina	282	279	$95.00	$48.05
66984 Removal of cataract with insertion of lens	275	146	$2015.79	$493.30
92136 Measurement of corneal curvature and depth of eye	263	164	$200.00	$53.70
92133 Imaging of optic nerve	165	152	$94.00	$39.70
92004 New patient complete exam of visual system	162	162	$198.00	$160.74
66821 Removal of recurring cataract in lens capsule using a laser	160	112	$900.00	$328.08
99213 Established patient office or other outpatient visit, typically 15 minutes	145	116	$95.00	$78.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	123	$140.00	$114.68
92134 Imaging of retina	108	97	$94.00	$43.61
92083 Exam of visual field with extended testing	87	85	$153.00	$68.18
66982 Complex removal of cataract with insertion of prosthetic lens	21	16	$2400.00	$796.35
92012 Established patient problem focused exam of visual system	15	15	$114.00	$95.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	931	853	$165.04	$133.01
92136 Measurement of corneal curvature and depth of eye	355	214	$200.00	$56.75
66984 Removal of cataract with insertion of lens	353	187	$2032.55	$576.57
92250 Photography of the retina	346	338	$95.00	$53.18
92004 New patient complete exam of visual system	204	204	$198.00	$158.30
99213 Established patient office or other outpatient visit, typically 15 minutes	194	145	$95.00	$77.15
92133 Imaging of optic nerve	175	166	$94.00	$39.28
66821 Removal of recurring cataract in lens capsule using a laser	167	114	$900.00	$327.46
92134 Imaging of retina	107	99	$94.00	$43.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	88	$140.00	$112.61
92083 Exam of visual field with extended testing	100	98	$153.00	$68.49
66982 Complex removal of cataract with insertion of prosthetic lens	31	19	$2167.74	$738.93
0191T Internal insertion of eye fluid drainage device	29	16	$2200.00	$219.70
92012 Established patient problem focused exam of visual system	16	16	$114.00	$93.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	896	846	$165.04	$131.80
92136 Measurement of corneal curvature and depth of eye	391	238	$200.00	$68.11
66984 Removal of cataract with insertion of lens	386	210	$2113.33	$598.86
92250 Photography of the retina	225	222	$95.00	$59.86
92004 New patient complete exam of visual system	188	188	$198.00	$157.40
66821 Removal of recurring cataract in lens capsule using a laser	188	135	$900.00	$326.40
99213 Established patient office or other outpatient visit, typically 15 minutes	161	129	$95.00	$74.91
92133 Imaging of optic nerve	131	127	$94.00	$39.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	97	$140.00	$110.48
92134 Imaging of retina	94	89	$94.00	$43.62
92083 Exam of visual field with extended testing	78	77	$153.00	$67.30
66982 Complex removal of cataract with insertion of prosthetic lens	52	30	$2160.00	$729.35
92012 Established patient problem focused exam of visual system	40	40	$114.00	$90.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	910	856	$165.04	$128.64
92136 Measurement of corneal curvature and depth of eye	400	246	$200.00	$71.66
66984 Removal of cataract with insertion of lens	386	219	$2157.13	$615.65
99213 Established patient office or other outpatient visit, typically 15 minutes	248	172	$95.00	$74.67
92004 New patient complete exam of visual system	204	204	$198.00	$155.07
92134 Imaging of retina	152	128	$94.00	$42.99
66821 Removal of recurring cataract in lens capsule using a laser	150	114	$900.00	$319.51
92133 Imaging of optic nerve	135	131	$94.00	$38.64
92083 Exam of visual field with extended testing	91	90	$153.00	$67.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	72	$138.96	$108.24
92250 Photography of the retina	69	69	$95.00	$69.79
66982 Complex removal of cataract with insertion of prosthetic lens	29	21	$2317.24	$762.75
92012 Established patient problem focused exam of visual system	23	22	$114.00	$89.39
65855 Laser repair to improve eye fluid flow	17	13	$1197.00	$254.27

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G83015

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G830150 (CA)

Hospital & Practice Group Affiliations

Eye Surgical And Medical Associates, Inc.

5021 W Noble Ave, Visalia, CA 932778310

Phone: 5596279393

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Allen Denison , OD

Optometrist

NPI 1205876190

Doctor of Optometry

Dr. Chia-Wen Chang , MD

Ophthalmology

NPI 1417210451

Doctor of Medicine (M.D.)

Dr. Barry Smith , MD

Ophthalmology

NPI 1548200488

Doctor of Medicine (M.D.)

Dr. Judith Ransberger , OD

Optometrist

NPI 1578501532

Doctor of Optometry

Dr. Michael Henry , MD

Ophthalmology

NPI 1689644817

Doctor of Medicine (M.D.)

Dr. Laura Rodriguez , OD

Optometrist

NPI 1700485133

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2008

Registered at 5021 W NOBLE AVE, SUITE A, VISALIA, CA 932778310 (Tel: 5596279393)

📍

Updated Business Mailing Address September 23, 2008

Registered at 5021 W NOBLE AVE, SUITE A, VISALIA, CA 932778310 (Tel: 5596279393)

👤

Provider Name / Credentials Updated September 23, 2008

Recorded as MICHAEL BOONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2008

Ophthalmology (License #G83015 in CA)

🟢

Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467494203

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2006

Last Update: September 23, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5021 W Noble Ave, Suite A

Visalia, CA 932778310

Phone: 5596279393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.