Deactivated NPI 1003819459 Deactivated / Inactive NPI Male Practitioner

Dr. Mark J Boerner , MD

Ophthalmology • Boise, ID

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Boerner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2005

NPI Deactivation Date March 20, 2006

Total Practice Duration ~18 Years of Practice (1988 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Boerner, MD was a registered Ophthalmology in Boise, ID. Prior to record deactivation on 2006-03-20, Dr. Boerner completed approximately 18 years of clinical practice following graduation from University Of Texas Medical School At San Antonio in 1988.

Dr. Boerner was affiliated with Idaho Eyelid And Facial Plastic Surgery Pllc and accepted Medicare assignment.

Historical Medicare Part B clinical services included injection, incobotulinumtoxin a, 1 unit, photography of content of eyes, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

111 W Main St Ste 200

Boise, ID 837027308

Telephone 2083443220

Fax 2083440461

Associated Practice Facility / Clinic

🏢 Idaho Eyelid & Facial Plastic Surgery , Pllc Facility NPI 1255401436

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Boise, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.9 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

26 Specialists

Practicing in Boise, ID (80 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boerner (38 Years) 38 Yrs

Boise Specialty Average (23.1 Years) 23.1 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
J0588 Injection, incobotulinumtoxin a, 1 unit	1,750	11	$10.00	$5.14
92285 Photography of content of eyes	72	71	$55.00	$20.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$358.00	$151.91
64612 Injection of chemical for paralysis of nerve muscles on side of face	28	13	$462.71	$163.30
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$195.00	$83.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,137	11	$10.00	$6.24
92285 Photography of content of eyes	70	70	$78.66	$20.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$323.42	$153.26
64612 Injection of chemical for paralysis of nerve muscles on side of face	32	13	$753.28	$166.61
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$212.93	$83.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$205.36	$102.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,489	11	$10.00	$6.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$300.00	$151.48
92285 Photography of content of eyes	51	51	$87.00	$20.10
64612 Injection of chemical for paralysis of nerve muscles on side of face	27	11	$805.96	$179.53
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$132.00	$84.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$193.00	$102.89
67904 Repair of tendon of upper eyelid	11	11	$3888.82	$984.14
67904 Repair of tendon of upper eyelid	11	11	$3333.27	$735.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,729	21	$10.00	$6.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$319.13	$156.49
64612 Injection of chemical for paralysis of nerve muscles on side of face	42	21	$760.60	$167.20
92285 Photography of content of eyes	39	39	$87.00	$20.31
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$145.18	$82.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$213.00	$104.21
67917 Extensive repair of turning-outward eyelid defect	13	11	$2304.00	$323.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,056	19	$10.00	$6.07
92004 New patient complete exam of visual system	64	64	$255.00	$141.78
92285 Photography of content of eyes	55	54	$87.00	$19.32
64612 Injection of chemical for paralysis of nerve muscles on side of face	50	19	$797.08	$168.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$300.00	$150.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$193.00	$97.69
68840 Probing of nasal-tear duct	19	19	$452.63	$137.95
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$132.00	$70.21
30300 Removal of foreign body in nose	12	11	$287.00	$167.53
67904 Repair of tendon of upper eyelid	11	11	$3518.45	$906.76
67904 Repair of tendon of upper eyelid	11	11	$4074.00	$837.81
67917 Extensive repair of turning-outward eyelid defect	11	11	$2722.91	$476.44
92012 Established patient problem focused exam of visual system	11	11	$150.00	$83.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,729	19	$10.00	$5.81
92285 Photography of content of eyes	108	108	$86.74	$19.14
92004 New patient complete exam of visual system	78	78	$253.58	$141.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$192.42	$99.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$299.38	$152.24
64612 Injection of chemical for paralysis of nerve muscles on side of face	50	22	$756.44	$157.92
67904 Repair of tendon of upper eyelid	45	44	$3885.82	$815.74
92012 Established patient problem focused exam of visual system	34	31	$149.12	$82.47
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$131.55	$69.35
67917 Extensive repair of turning-outward eyelid defect	19	17	$2534.58	$391.10
92014 Established patient complete exam of visual system	17	17	$214.29	$118.71
67850 Destruction of growth of eyelid margin, 1.0 cm or less	16	16	$642.69	$206.33
68840 Probing of nasal-tear duct	15	15	$434.80	$132.90
15823 Removal of excessive skin and fat of upper eyelid	13	13	$2615.38	$670.41
67917 Extensive repair of turning-outward eyelid defect	12	12	$2351.83	$653.17
67904 Repair of tendon of upper eyelid	11	11	$2585.27	$764.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,294	22	$9.83	$5.51
92285 Photography of content of eyes	83	82	$85.00	$17.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$189.38	$95.79
92004 New patient complete exam of visual system	66	66	$249.39	$137.79
64612 Injection of chemical for paralysis of nerve muscles on side of face	59	22	$735.73	$149.49
92012 Established patient problem focused exam of visual system	34	32	$147.00	$77.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$293.82	$145.81
67904 Repair of tendon of upper eyelid	20	20	$3382.90	$737.95
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$128.76	$63.37
92014 Established patient complete exam of visual system	16	16	$211.38	$114.74
68840 Probing of nasal-tear duct	14	13	$412.86	$124.97
15823 Removal of excessive skin and fat of upper eyelid	14	14	$2473.93	$673.70
67917 Extensive repair of turning-outward eyelid defect	13	13	$2504.31	$410.72
15823 Removal of excessive skin and fat of upper eyelid	11	11	$1760.18	$615.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,237	19	$9.00	$5.39
92004 New patient complete exam of visual system	120	120	$238.38	$135.06
92285 Photography of content of eyes	84	84	$82.00	$17.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$187.62	$95.90
64612 Injection of chemical for paralysis of nerve muscles on side of face	53	19	$747.55	$149.41
92012 Established patient problem focused exam of visual system	35	33	$144.17	$76.98
67904 Repair of tendon of upper eyelid	34	34	$3706.91	$788.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$282.18	$141.36
92014 Established patient complete exam of visual system	19	18	$205.79	$112.06
67850 Destruction of growth of eyelid margin, 1.0 cm or less	18	18	$581.33	$191.39
67904 Repair of tendon of upper eyelid	15	15	$3488.80	$920.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$183.40	$97.46
68840 Probing of nasal-tear duct	13	13	$454.23	$136.58
67825 Removal of eyelashes	12	12	$401.92	$119.27
67917 Extensive repair of turning-outward eyelid defect	12	12	$2651.67	$709.98

Medical Specialties & State Licenses

CMS Verified: 2020-04-15

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License ID M7206

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

804243800 (ID)

Commercial Insurance / Payer ID Railroad Medicare

180038677 (ID)

Commercial Insurance / Payer ID Blue Cross

J5164 (ID)

Commercial Insurance / Payer ID Regence Blue Shield

000010002554 (ID)

Commercial Insurance / Payer ID Dmerc

1317920001 (ID)

Hospital & Practice Group Affiliations

Idaho Eyelid And Facial Plastic Surgery Pllc

111 W Main St, Boise, ID 837027308

Phone: 2083443220

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Chad Jackson , MD

Ophthalmology

NPI 1184067498

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address April 15, 2020

Registered at 111 W MAIN ST, STE 200, BOISE, ID 837027308 (Tel: 2083443220)

📍

Updated Practice Location July 15, 2009

Registered at 111 W MAIN ST STE 200, BOISE, ID 837027308 (Tel: 2083443220)

📍

Updated Business Mailing Address July 15, 2009

Registered at 111 W MAIN ST STE 200, BOISE, ID 837027308 (Tel: 2083443220)

👤

Provider Name / Credentials Updated July 15, 2009

Recorded as MARK BOERNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2009

Ophthalmology (License #M7206 in ID)

🔄

NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️

NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

🟢

Initial NPI Registration & Enumeration May 31, 2005

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: 1003819459

Entity Type:

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

Enumeration Date: May 31, 2005

Last Update: April 15, 2020

Deactivation Date: March 20, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

111 W Main St, Ste 200

Boise, ID 837027308

Phone: 2083443220

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.