BARBARA ANN BOYLAN MD NPI 1013091081
Internal Medicine - Cardiovascular Disease in Healdsburg, CA

About BARBARA ANN BOYLAN MD

Barbara Boylan is an internist established in Healdsburg, California and her medical specialization is Internal Medicine with a focus in cardiovascular disease with more than 37 years of experience. She graduated from University Of California, Geffen School Of Medicine in 1986. The NPI number of Barbara Boylan is 1013091081 and was assigned on October 2006. The practitioner's primary taxonomy code is 207RC0000X with license number G62299 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1013091081
Provider Name BARBARA ANN BOYLAN MD
Location Address1381 UNIVERSITY ST HEALDSBURG, CA 95448
Location Phone(707) 433-5494
Mailing Address1381 UNIVERSITY ST HEALDSBURG, CA 95448
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year1986
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date09-09-2019

An internist like Barbara Ann Boylan Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Barbara Boylan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Barbara Boylan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Healdsburg Hospital and Sutter Santa Rosa Regional Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.36 for a new patient copayment and $28.29 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.G62299
License StateCA
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

BARBARA ANN BOYLAN MD
1381 UNIVERSITY ST
HEALDSBURG, CA
ZIP 95448
Phone: (707) 433-5494
Fax: (707) 385-2157

Get Directions


Mailing Address

BARBARA ANN BOYLAN MD
1381 UNIVERSITY ST
HEALDSBURG, CA
ZIP 95448
Phone: (707) 433-5494
Fax: (707) 385-2157


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2466649579
PECOS Enrollment IDI20101214001328
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 95448 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$64.13 $191.73 $145.45
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.03 $47.93 $36.36
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.6 $157.41 $113.17
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.15 $39.35 $28.29

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 55Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Barbara Boylan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HEALDSBURG HOSPITAL1375 UNIVERSITY AVENUE
HEALDSBURG, CA 95448
(707) 431-6500Critical Access Hospitals51321
SUTTER SANTA ROSA REGIONAL HOSPITAL30 MARK WEST SPRINGS ROAD
SANTA ROSA, CA 95403
(707) 576-4000Acute Care Hospitals50291

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00G622990MEDICAID (05)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013091081
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023092016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 0 + 1 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013091081 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285629659 ELVIRA SILVIA FIORENTINO DDS
Individual
Dentist1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1861487043 MARK HENRY STREET DC
Individual
Chiropractor1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1083600332 DIANA MARIE MADISON PA
Individual
Physician Assistant1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1699850644 MELISSA JINKS ARNP
Individual
Nurse Practitioner (Family)1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1144395724 NIKKE D EFIGENIO MS,RD
Individual
Dietitian, Registered1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1245398411 ANDREW LANE DDS
Individual
Dentist1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1992863658 THOMAS CLELAND DDS
Individual
Dentist1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1780742361 GERARDO AMADOR DDS
Individual
Dentist1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1235354945 JUDY LOCK FNP
Individual
Nurse Practitioner1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-8234
1679735146DR. DANA DIANE YEE D.M.D.
Individual
Dentist (General Practice)1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-8161
1437389566MS. CATHERINE CLARK FNP
Individual
Nurse Practitioner (Family)1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-8161
1609136381 DANA PEUGH GUIDI RDH
Individual
Dental Hygienist1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-5494
1457788945 TODD STEELE
Individual
Nurse Practitioner (Family)1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-5494
1265622286DR. JOSE ADOLFO CHIBRAS SAINZ MD
Individual
Internal Medicine1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 385-2311
1881087062 BRITTANY LEE GONZALES DDS
Individual
Dentist1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-8161
1295025039 EMBER KEIGHLEY
Individual
Family Medicine1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-5494
1144726571 ANNA RIOS RDN
Individual
Dietitian, Registered1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 431-0831
1265400824 PATRICIA ELLEN PIERSOL CNM
Individual
Advanced Practice Midwife1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-5494
1326105313 GARY PACE MD
Individual
Family Medicine1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-5494
1902110216 NATASHA BETTINA SILL CPNP
Individual
Nurse Practitioner (Pediatrics)1381 UNIVERSITY ST
HEALDSBURG, CA 95448
(707) 433-5494

Frequently Asked Questions

What is Barbara Boylan MD NPI number?

The NPI number assigned to Barbara Boylan MD is 1013091081, registered as an "individual" on October 25, 2006

Where is Barbara Boylan MD located?

The provider is located at 1381 University St Healdsburg, Ca 95448 and the phone number is (707) 433-5494

Which is Barbara Boylan MD specialty?

The provider's speciality is Internal Medicine with a focus in Cardiovascular Disease

How many years of experience does Barbara Boylan MD have?

The provider has more than 37 years of experience. She graduated from University Of California, Geffen School Of Medicine in 1986.

What insurance does Barbara Boylan MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Barbara Boylan MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Barbara Boylan MD?

Medicare beneficiaries should expect a typical cost of $145.45 with an average copayment of $36.36 for new patient appointments. Established patients should expect a typical charge of $113.17 and an average copayment of 28.29. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Barbara Boylan MD?

The most common procedures or services performed by this practitioner are: Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report.

Is Barbara Boylan MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: HEALDSBURG HOSPITAL and SUTTER SANTA ROSA REGIONAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Barbara Boylan MD was last updated on October 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]