Thomas Martin Boyle, MD
Individual provider Active NPI Ophthalmology Physician · Deming, NM
NPI 1063518066 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1063518066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 44014 (AZ)
- Practice address
- 850 W Florida St
Deming, NM 88030-4558 - Phone
- (575) 544-2020
- Fax
- (575) 544-2801
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050107000042 | NM | Practitioner - Ophthalmology | 4082672563 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002-0264 | NM | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fillmore Eye Clinic Incorporated | Ophthalmology | Current |
Accepting new patients |
| Fillmore Eye Clinic Incorporated | Ophthalmology | Current |
Accepting new patients |
Locations
1124 10th St
Alamogordo, NM 88310
Phone (575) 434-1200
850 W Florida St
Deming, NM 88030
Phone (505) 546-6548
1210 E 32nd St
Silver City, NM 88061
Phone (505) 538-3721
Interoperability endpoints
- tboyle@fec.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2002-0264 | NM | |
| Ophthalmology Physician | 207W00000X | 44014 | AZ | Yes |
Addresses
Primary practice location
850 W Florida St
Deming, NM 88030-4558
Mailing address
850 W Florida St
Deming, NM 88030-4558
Phone (575) 544-2020
Other practice location 1
4709 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 722-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07324774 | Medicaid | NM | |
| 13425323 | Medicaid | NM |
Other providers in Deming, NM
- Braeden Blandford
- Blue Skies Health Care, Inc
- Blue Skies Primary Care PC
- Richard S Bohnstedt
- Jodie Lynn Bookout
- David Eaton Bragg
- Christina Delao Breeden
- Lauren Frances Brinch
- Kathleen Ann Brown
- Summer Bunting
All providers in Deming, NM · Ophthalmology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.