Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013261510 Individual Practitioner Female Practitioner

Dr. Staci Anne Boon , OD

Optometrist • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Staci Boon, OD is a certified Optometrist practicing in Waterloo, IA. With approximately 14 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2012, Dr. Boon delivers high-quality medical care to the local community at 909 E SAN MARNAN DR.

Dr. Boon is affiliated with Cedar Valley Medical Specialists Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, exam to measure eye deviation and range of motion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

909 E San Marnan Dr

Waterloo, IA 507025611

Telephone 3192332020
Fax 3192341939
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Waterloo, IA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -2.1 yrs vs City Avg
City Avg: 16.1 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Waterloo, IA (704 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boon (14 Years) 14 Yrs
Waterloo Specialty Average (16.1 Years) 16.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes
43 35 $170.00 $83.75
92014 Established patient complete exam of visual system
22 22 $277.00 $110.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
19 18 $360.00 $166.21

Medical Specialties & State Licenses

CMS Verified: 2022-03-10
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IA 072761

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.

Hospital & Practice Group Affiliations

Cedar Valley Medical Specialists Pc

909 E San Marnan Dr, Waterloo, IA 507025611

Phone: 3192332020

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1003269721

Doctor of Optometry

NPI 1134175326

Doctor of Optometry

NPI 1427098466

Doctor of Medicine (M.D.)

NPI 1497075642

Doctor of Osteopathic Medicine (D.O.)

NPI 1619916137

Doctor of Optometry

Lucas Cook

Optometrist

NPI 1639582901

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2017

Registered at 909 E SAN MARNAN DR, WATERLOO, IA 507025611 (Tel: 3192332020)

📍
Updated Business Mailing Address April 26, 2017

Registered at PO BOX 2758, WATERLOO, IA 507042758 (Tel: 3192355390)

👤
Provider Name / Credentials Updated April 26, 2017

Recorded as STACI BOON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Optometrist (License #072761 in IA)

NPI Profile Active November 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2012

Registered at 1245 MADISON AVE, MEMPHIS, TN 381042211 (Tel: 9017223200)

📍
Updated Business Mailing Address November 05, 2012

Registered at 1356 DUNLEITH DR APT 102, MEMPHIS, TN 381038959 (Tel: 3129091939)

👤
Provider Name / Credentials Updated November 05, 2012

Recorded as STACI BOON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2012

Optometrist (License #3072 in TN)

🟢
Initial NPI Registration & Enumeration November 05, 2012

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: 1013261510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2012
Last Update: March 10, 2022
Sole Proprietor: No

Mailing Address

Po Box 2758

Waterloo, IA 507042758

Phone: 3192355390

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.