Individual provider Active NPI

Jeffrey Mark Boyko, DO

  • Vascular Surgery Physician
  • Parma, OH
National Provider Identifier
1023061165
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34-005779 Issued in OH
Practice address
6707 Powers Blvd Ste 202
Parma, OH 44129-5464
Phone
(440) 743-2380
Fax
(440) 743-2381
NPI assigned
May 18, 2006
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34-005779 OH Primary

Addresses

Primary practice location

6707 Powers Blvd Ste 202
Parma, OH 44129-5464

Mailing address

PO Box 931591
Cleveland, OH 44193-1719

Other identifiers 1

IdentifierTypeStateIssuer
2114081MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffreyboyko@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000454 OH Practitioner - Vascular SurgeryPractitioner - General Practice 8820079627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Practice
Education
Ohio University, College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

6707 Powers Blvd
Parma, OH 44129-5464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-005779OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Aug 1, 2014 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2014 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

7575 Northcliff Ave
Ste 305
Brooklyn, OH 44144
Phone (216) 398-5180

158 W Main Rd
Ste 200
Conneaut, OH 44030
Phone (440) 593-0200

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6707 Powers Blvd
Ste 202
Parma, OH 44129
Phone (440) 743-2380

Interoperability endpoints

  • Direct secure messaging: jboyko37504@ehrdirect.uhhospitals.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1023061165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931591",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD STE 202",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295464",
            "telephone_number": "440-743-2380",
            "fax_number": "440-743-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKO",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34-005779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114081",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffreyboyko@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6707 Powers Blvd Ste 202",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.