Active NPI
Michael Keesey Boyd, M.D.
- Surgery Physician
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R5090
- Practice address
- 102 N Magdalen St
San Angelo, TX 76903-5400 - Phone
- (325) 747-2344
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R5090 | TX | Primary |
Addresses
Primary practice location
102 N Magdalen St
San Angelo, TX 76903-5400
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 747-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511
120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741
2142 Sunset Dr
San Angelo, TX 76904-6829
Phone (325) 747-1511
220 E Harris Ave
San Angelo, TX 76903-5906
Phone (325) 747-1511
2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone (325) 747-1511
3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-7500
3502 Knickerbocker Rd
San Angelo, TX 76904-7671
Phone (325) 747-2222
3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-1511
Hospital & facility affiliations
- Shannon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 25 |
| Mastectomy | 22 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5090 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Clinic | Surgery | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Surgery | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients |
Locations
2104 N Bedell Ave
Ste A
Del Rio, TX 78840
Phone (830) 703-1604
3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
102 N Magdalen St
San Angelo, TX 76903
Phone (325) 655-2200
3605 Executive Dr
San Angelo, TX 76904
Phone (325) 949-9555
3350 Executive Dr
San Angelo, TX 76904
Phone (325) 245-4504
Interoperability endpoints
- mboyd38914@shannonhealth.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Surgery
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- General Practice Physician
- San Angelo, TX
- NPI 1750302923
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Angelo, TX
- NPI 1992707228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1124383567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22000",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769027200",
"telephone_number": "325-747-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N MAGDALEN ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035400",
"telephone_number": "325-747-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MICHAEL",
"middle_name": "KEESEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R5090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.