Active NPI 1235161654 Individual Practitioner Male Practitioner

Dr. James J. Boilini , OD

Optometrist • Key Largo, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Boilini, OD is a certified Optometrist practicing in Key Largo, FL. With approximately 51 years of clinical experience since graduating from Indiana University - School Of Optometry in 1975, Dr. Boilini delivers high-quality medical care to the local community at 99696 OVERSEAS HWY.

Dr. Boilini accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

99696 Overseas Hwy

Key Largo, FL 330372432

Telephone 3054511481

Fax 3054515077

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Key Largo, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs Matches City Avg

City Avg: 51.0 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Key Largo, FL (3724 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

16.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boilini (51 Years) 51 Yrs

Key Largo Specialty Average (51.0 Years) 51.0 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
92250 Photography of the retina	257	243	$50.00	$37.57
92014 Established patient complete exam of visual system	158	158	$144.68	$127.47
99213 Established patient office or other outpatient visit, typically 15 minutes	132	80	$106.44	$95.41
92004 New patient complete exam of visual system	73	73	$175.07	$150.80
66984 Removal of cataract with insertion of lens	63	39	$150.00	$105.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	37	$76.00	$59.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$145.83	$134.35
67820 Removal of eyelashes using forceps	29	14	$44.14	$19.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$126.52	$118.84
92081 Exam of visual field with limited testing	21	21	$50.00	$34.18
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$84.62	$75.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	279	254	$50.00	$38.23
92014 Established patient complete exam of visual system	152	151	$130.00	$128.27
99213 Established patient office or other outpatient visit, typically 15 minutes	140	81	$100.00	$95.87
92004 New patient complete exam of visual system	82	82	$160.00	$152.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	55	$70.00	$60.05
66984 Removal of cataract with insertion of lens	37	28	$150.00	$110.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$140.00	$135.62
92081 Exam of visual field with limited testing	29	29	$50.00	$34.64
67820 Removal of eyelashes using forceps	20	11	$42.50	$20.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$120.00	$118.32
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$80.00	$77.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	274	260	$52.15	$38.68
92014 Established patient complete exam of visual system	155	155	$128.84	$127.66
99213 Established patient office or other outpatient visit, typically 15 minutes	116	72	$96.90	$94.94
92004 New patient complete exam of visual system	92	92	$156.68	$152.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	47	$68.79	$61.33
66984 Removal of cataract with insertion of lens	53	35	$150.00	$106.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$120.00	$119.21
67820 Removal of eyelashes using forceps	33	21	$45.15	$20.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$136.88	$133.73
92081 Exam of visual field with limited testing	14	14	$50.00	$34.95
92083 Exam of visual field with extended testing	11	11	$72.73	$65.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	294	274	$70.00	$41.16
99213 Established patient office or other outpatient visit, typically 15 minutes	157	91	$80.00	$80.00
92014 Established patient complete exam of visual system	141	141	$115.00	$115.00
92004 New patient complete exam of visual system	111	111	$125.00	$125.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	58	$60.00	$60.00
66984 Removal of cataract with insertion of lens	40	28	$150.00	$114.26
92081 Exam of visual field with limited testing	27	26	$50.00	$32.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$115.00	$115.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$120.00	$120.00
92083 Exam of visual field with extended testing	17	16	$80.00	$66.40
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$80.00	$79.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	225	210	$70.00	$47.30
99213 Established patient office or other outpatient visit, typically 15 minutes	136	88	$80.00	$79.70
92014 Established patient complete exam of visual system	119	119	$115.00	$114.54
92004 New patient complete exam of visual system	88	88	$125.00	$124.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$60.00	$49.58
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$80.00	$79.56
66984 Removal of cataract with insertion of lens	26	19	$150.00	$110.58
92083 Exam of visual field with extended testing	21	19	$80.00	$66.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$115.00	$114.60
92081 Exam of visual field with limited testing	17	16	$50.00	$32.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$120.00	$118.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	496	208	$35.00	$28.66
92250 Photography of the retina	264	240	$70.00	$52.65
99213 Established patient office or other outpatient visit, typically 15 minutes	201	120	$80.00	$78.93
92014 Established patient complete exam of visual system	150	150	$115.00	$113.54
92004 New patient complete exam of visual system	71	71	$125.00	$123.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	50	$60.00	$48.12
66984 Removal of cataract with insertion of lens	36	25	$150.00	$132.80
92083 Exam of visual field with extended testing	23	22	$80.00	$66.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$120.00	$117.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$115.00	$113.47
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$80.00	$79.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	459	198	$36.37	$27.67
92250 Photography of the retina	271	243	$70.00	$55.54
99213 Established patient office or other outpatient visit, typically 15 minutes	217	126	$80.00	$73.59
92014 Established patient complete exam of visual system	146	145	$115.14	$112.76
92004 New patient complete exam of visual system	92	92	$125.00	$122.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	42	$58.57	$44.29
66984 Removal of cataract with insertion of lens	40	26	$150.00	$127.56
83516 Analysis of substance using immunoassay technique	34	17	$25.00	$13.96
92083 Exam of visual field with extended testing	29	26	$80.00	$62.85
92285 Photography of content of eyes	29	20	$30.00	$20.65
76512 Ultrasound of eye disease, growth, or structure	29	24	$190.34	$114.60
92133 Imaging of optic nerve	21	20	$50.00	$37.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$115.00	$108.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$120.00	$111.34
92134 Imaging of retina	16	14	$60.00	$41.21
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$80.00	$76.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing	331	154	$36.66	$26.07
92250 Photography of the retina	310	276	$76.77	$64.13
99213 Established patient office or other outpatient visit, typically 15 minutes	174	110	$76.38	$71.03
92014 Established patient complete exam of visual system	145	145	$109.34	$106.43
92004 New patient complete exam of visual system	107	107	$120.98	$117.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	70	$50.00	$43.55
92083 Exam of visual field with extended testing	64	63	$84.38	$57.00
76512 Ultrasound of eye disease, growth, or structure	62	31	$120.00	$82.01
83516 Analysis of substance using immunoassay technique	43	21	$25.47	$15.50
92285 Photography of content of eyes	35	30	$30.57	$20.85
66984 Removal of cataract with insertion of lens	29	24	$173.28	$121.75
92133 Imaging of optic nerve	20	17	$49.00	$36.74
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$69.41	$65.99
92134 Imaging of retina	15	14	$60.00	$40.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$109.29	$101.35

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC001208

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

084828000 (FL)

Commercial Insurance / Payer ID Medicare Rr

408580804 (FL)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Thomas Walsh , DDS

Dentist

NPI 1285779470

Doctor of Dental Surgery

Rosanne Walsh , LMHC

Counselor - Mental Health

NPI 1780817379

Licensed Mental Health Counselor

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 17, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2009

Registered at 99696 OVERSEAS HWY, KEY LARGO, FL 330372432 (Tel: 3054511481)

📍

Updated Business Mailing Address April 17, 2009

Registered at 99696 OVERSEAS HWY, KEY LARGO, FL 330372432 (Tel: 3054511481)

👤

Provider Name / Credentials Updated April 17, 2009

Recorded as JAMES BOILINI, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2009

Optometrist (License #OPC001208 in FL)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235161654

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: April 17, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

99696 Overseas Hwy

Key Largo, FL 330372432

Phone: 3054511481

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.