Active NPI 1073603718 Individual Practitioner Male Practitioner

Dr. Avery B Boardman , OD

Optometrist • Wysox, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Avery Boardman, OD is a certified Optometrist practicing in Wysox, PA. With approximately 35 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1991, Dr. Boardman delivers high-quality medical care to the local community at 889 CRAFTMASTER ROAD.

Dr. Boardman is affiliated with Grady D. Gafford Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of optic nerve, new 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

889 Craftmaster Road

Wysox, PA 188540000

Telephone 5702653668

Fax 5702658936

Associated Practice Facility / Clinic

🏢 Boardman Family Eye Care Pc Facility NPI 1366627275

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Wysox, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +2.5 yrs vs City Avg

City Avg: 32.5 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Wysox, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boardman (35 Years) 35 Yrs

Wysox Specialty Average (32.5 Years) 32.5 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	245	204	$89.96	$86.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	229	185	$55.00	$53.32
92133 Imaging of optic nerve	72	48	$70.00	$32.32
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$80.00	$68.28
92083 Exam of visual field with extended testing	62	54	$90.00	$58.93
92134 Imaging of retina	36	30	$70.00	$37.20
92250 Photography of the retina	35	32	$84.57	$34.54
66984 Removal of cataract with insertion of lens	23	17	$150.50	$94.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	330	286	$77.14	$71.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	201	178	$46.34	$43.41
92133 Imaging of optic nerve	74	54	$61.49	$31.26
92250 Photography of the retina	62	57	$75.97	$33.21
92083 Exam of visual field with extended testing	53	51	$85.75	$55.37
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$75.88	$65.66
92134 Imaging of retina	36	30	$61.94	$36.05
66984 Removal of cataract with insertion of lens	36	24	$150.85	$88.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	281	236	$45.00	$44.60
99213 Established patient office or other outpatient visit, typically 15 minutes	246	218	$75.00	$74.30
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$75.00	$70.67
92133 Imaging of optic nerve	62	53	$60.00	$33.39
92083 Exam of visual field with extended testing	60	58	$84.75	$59.73
92250 Photography of the retina	45	43	$75.00	$35.89
66984 Removal of cataract with insertion of lens	44	26	$149.52	$95.35
92134 Imaging of retina	39	34	$60.00	$38.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	298	254	$45.00	$45.00
99213 Established patient office or other outpatient visit, typically 15 minutes	272	240	$75.00	$75.00
92083 Exam of visual field with extended testing	76	68	$85.00	$61.32
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$75.96	$71.28
92250 Photography of the retina	68	65	$75.00	$38.12
92133 Imaging of optic nerve	64	52	$60.00	$33.95
92134 Imaging of retina	32	27	$60.00	$39.72
66984 Removal of cataract with insertion of lens	29	22	$147.04	$96.17
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$81.94	$65.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	314	276	$45.00	$44.36
99213 Established patient office or other outpatient visit, typically 15 minutes	232	211	$75.19	$73.50
92250 Photography of the retina	80	77	$75.00	$43.64
92083 Exam of visual field with extended testing	76	66	$85.00	$61.19
92133 Imaging of optic nerve	60	53	$60.00	$34.10
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$75.00	$74.47
66984 Removal of cataract with insertion of lens	39	25	$149.68	$99.07
92134 Imaging of retina	28	27	$60.00	$39.60
66821 Removal of recurring cataract in lens capsule using a laser	12	12	$71.57	$61.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	384	302	$45.00	$43.61
99213 Established patient office or other outpatient visit, typically 15 minutes	226	211	$75.00	$72.06
92083 Exam of visual field with extended testing	86	72	$85.00	$61.45
99202 New patient office or other outpatient visit, typically 20 minutes	77	77	$75.00	$74.21
92250 Photography of the retina	56	55	$75.00	$48.53
92133 Imaging of optic nerve	55	50	$60.00	$33.68
66984 Removal of cataract with insertion of lens	53	32	$148.04	$113.97
92134 Imaging of retina	31	28	$60.00	$39.74
66821 Removal of recurring cataract in lens capsule using a laser	16	15	$84.60	$68.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	416	329	$44.96	$41.23
99213 Established patient office or other outpatient visit, typically 15 minutes	238	211	$75.00	$68.82
92083 Exam of visual field with extended testing	96	81	$85.00	$59.23
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$75.00	$70.82
92133 Imaging of optic nerve	77	65	$60.00	$32.53
66984 Removal of cataract with insertion of lens	44	30	$147.48	$110.64
92134 Imaging of retina	25	25	$60.00	$38.85
92250 Photography of the retina	13	13	$75.00	$53.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	342	271	$44.94	$39.40
99213 Established patient office or other outpatient visit, typically 15 minutes	222	210	$74.62	$66.28
92083 Exam of visual field with extended testing	93	75	$85.00	$56.89
92133 Imaging of optic nerve	65	58	$59.85	$30.62
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$74.92	$68.04
66984 Removal of cataract with insertion of lens	33	20	$144.11	$102.86
92134 Imaging of retina	29	26	$59.83	$36.88
66821 Removal of recurring cataract in lens capsule using a laser	16	12	$64.79	$54.41
92250 Photography of the retina	15	15	$75.00	$58.71
76514 Ultrasound scan of cornea to determine thickness	13	13	$20.00	$13.09

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000896

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

0012690190004 (PA)

Hospital & Practice Group Affiliations

Grady D. Gafford Md Pc

889 Craft Master Rd, Towanda, PA 188489192

Phone: 5702653668

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2011

Registered at 889 CRAFTMASTER ROAD, WYSOX, PA 188540000 (Tel: 5702653668)

📍

Updated Business Mailing Address March 23, 2011

Registered at 889 CRAFTMASTER ROAD, PO BOX 331, WYSOX, PA 188540000 (Tel: 5702653668)

👤

Provider Name / Credentials Updated March 23, 2011

Recorded as AVERY BOARDMAN, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2011

Optometrist (License #OEG000896 in PA)

🟢

Initial NPI Registration & Enumeration October 13, 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: 1073603718

Entity Type:

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

Enumeration Date: October 13, 2006

Last Update: March 23, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

889 Craftmaster Road, Po Box 331

Wysox, PA 188540000

Phone: 5702653668

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.