NPIMap

Individual provider Active NPI

Andrew S Boyce, MD

  • Orthopaedic Surgery Physician
  • Traverse City, MI
National Provider Identifier
1275637811
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101014988 Issued in MI
Practice address
4045 W Royal Dr
Traverse City, MI 49684-8965
Phone
(231) 395-0900
Fax
(231) 935-0308
NPI assigned
Sep 12, 2006
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101014988 MI Primary

Addresses

Primary practice location

4045 W Royal Dr
Traverse City, MI 49684-8965

Mailing address

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 395-0900

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Other practice location 2

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 0566.0001@direct.gloc.nextgenshare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000068 MI Practitioner - Orthopedic Surgery 6305941048 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Orthopaedic Center PCGroup PAC ID 1759371826, 36 clinicians
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, shared by 5 NPIs, 57 clinicians
Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, shared by 2 NPIs, 71 clinicians

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0900

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Phone (231) 941-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Current Accepting new patients
Munson Medical Center Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince Jun 1, 2018 Accepting new patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
Kalkaska Memorial Health Center Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince Jun 1, 2018 Accepting new patients
Munson Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Great Lakes Orthopaedic Center, P.C. Orthopaedic Surgery CurrentSince Aug 13, 2007 Accepting new patients
Orthopaedic Associates of Muskegon, PC Orthopaedic Surgery CurrentSince Apr 1, 2026 Accepting new patients
Munson Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Kalkaska Memorial Health Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228

401 Munson Ave
Traverse City, MI 49686
Phone (231) 933-3283

4045 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0900

Interoperability endpoints

  • Direct secure messaging: aboyce@direct.mhc.net
  • Direct secure messaging: andrew.boyce.1@27291.direct.athenahealth.com

Organizations & group practices 12

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 7

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1275637811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-395-0900",
            "fax_number": "231-935-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-395-0900",
            "fax_number": "231-935-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101014988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0566.0001@direct.gloc.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4045 W Royal Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496848965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.