Individual provider Active NPI

Thomas Michael Boyle, MD

  • Surgery Physician
  • Grass Valley, CA
National Provider Identifier
1467483966
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G56911 Issued in CA
Practice address
123 Margaret Lane
Ste B2
Grass Valley, CA 95945
Phone
(530) 274-3509
Fax
(530) 272-2072
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G56911 CA Primary

Addresses

Primary practice location

123 Margaret Lane
Ste B2
Grass Valley, CA 95945

Mailing address

123 Margaret Lane
Ste B2
Grass Valley, CA 95945
Phone (530) 274-3509

Other identifiers 1

IdentifierTypeStateIssuer
00G569110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081103000465 CA Practitioner - General SurgeryPractitioner - Internal Medicine 3577574920 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

123 Margaret LN
Grass Valley, CA 95945-5268
Phone (530) 274-3509

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.47 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
94.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)47
Mastectomy32
Melanoma (skin cancer) excision1-10
Removal of tissue202
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G56911CAMDSurgery Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBAJBA/Endpoint/FBAJBA

Hospital & facility affiliations 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1467483966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MARGARET LANE",
            "address_2": "STE B2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-274-3509",
            "fax_number": "530-272-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARGARET LANE",
            "address_2": "STE B2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-274-3509",
            "fax_number": "530-272-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G56911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G569110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.