Edward M Boyle Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD23277 Issued in OR

Practice address

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281

Phone

(541) 382-8346

Fax

(541) 382-5796

NPI assigned

Jan 5, 2006

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

General Surgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration Or LLCGroup PAC ID 1355824913, 13 clinicians

Inovia LLCGroup PAC ID 2860592854, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.76 of 100Reported as group

Quality

88.93

Promoting interoperability

93

Improvement activities

40

Cost

69.42

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.boyle@ivsc.eclinicaldirectplus.com

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.

• Inovia LLC

  • Vascular Surgery Physician
  • Bend, OR
  • NPI 1376753442

  WA

  Medicare reassignment Care Compare group NPD
• Center for Vein Restoration Or LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bend, OR
  • NPI 1154270445
  Medicare reassignment Care Compare group
• Boyle Clinics PC

  • Specialist
  • Bend, OR
  • NPI 1417014150
  NPD (past) Authorized official
• Cardiothoracic Surgeon, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bend, OR
  • NPI 1699706408
  NPD (past)
• Cardiothoracic Surgery Associates PC

  • Vascular Surgery Physician
  • Richland, WA
  • NPI 1881756054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1972581437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD",
            "address_2": "SUITE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 SE 164th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839644",
            "country_code": "US",
            "telephone_number": "800-834-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD23277",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00032320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2242380",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287197",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geneva R Bowman
• Marijane McHenry Boyd, LMT
• Emma Sage Boyer
• Matthew Boyer
• Boyle Clinics PC
• Jody Marie Bradbury, OTR CHT
• Braden Partners LP (Pacific Pulmonary Services)
• Chelsea Bradford, PHARMD
• Mark A Bradford, M.D.
• Stacey Bradford, LCSW

• Surgery Physician in Bend, OR
• Providers in Bend, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.

Verify at the official NPI Registry.