NPIMap

Individual provider Active NPI

Kevin Louis Boyer, MD

  • Neurological Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1609861392
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
DR0059227 Issued in CO
Practice address
10099 Ridge Gate Pkwy
Suite 310
Lone Tree, CO 80124
Phone
(303) 790-1800
Fax
(303) 790-1809
NPI assigned
Sep 19, 2005
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME68033 FL
Neurological Surgery Physician 207T00000X DR0059227 CO Primary

Addresses

Primary practice location

10099 Ridge Gate Pkwy
Suite 310
Lone Tree, CO 80124

Mailing address

10099 Ridge Gate Pkwy
Suite 310
Lone Tree, CO 80124
Phone (941) 761-1998

Other identifiers 4

IdentifierTypeStateIssuer
26796OtherFLBCBS
377686700MedicaidFL
9000152452MedicaidCO
140005631OtherFLRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170927003641 CO Practitioner - Neurosurgery 7315922739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Creighton University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Front Range Spine and NeurosurgeryGroup PAC ID 7214966720, 12 clinicians

Practice addresses (Care Compare)

10099 Ridgegate Pkwy
Suite 310
Lone Tree, CO 80124-5534
Phone (303) 790-1800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion47
Laminectomy or laminotomy (partial removal of spine bones)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0059227COMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Autumn Spirit PA, Inc Neurological Surgery Current Accepting new patients
Front Range Spine and Neurosurgery Neurological Surgery CurrentSince Oct 1, 2017 Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients
Pinnacle Medical Group PA Neurological Surgery PastSince Apr 29, 2009 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Pinnacle Physician Network, LLC Past Accepting new patients

Locations

10099 Ridgegate Pkwy
Ste 310
Lone Tree, CO 80124
Phone (303) 790-1800

Organizations & group practices 6

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 9

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1609861392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGE GATE PKWY",
            "address_2": "SUITE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "941-761-1998",
            "fax_number": "941-748-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGE GATE PKWY",
            "address_2": "SUITE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-790-1800",
            "fax_number": "303-790-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "KEVIN",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME68033",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "DR0059227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377686700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000152452",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "140005631",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.