DR. JAMES W BOYLE M.D.
NPI 1063693489
Orthopaedic Surgery in Hyannis, MA

Q: What is James Boyle's NPI number?

The NPI number for James Boyle is 1063693489. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Q: What is James Boyle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Boyle was last updated on August 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 15, 2007PECOS EnrolledAccepts Medicare Assignment

73.47/100

CMS Quality Rating

130 NORTH STREET, HYANNIS, MA 02601(508) 775-8282(508) 775-1414 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James W Boyle M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES W BOYLE M.D. (NPI 1063693489) is an individual orthopaedic surgery provider in Hyannis, Massachusetts, licensed in Massachusetts (241246) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063693489

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES W BOYLECredential: M.D.

Location Address130 NORTH STREETHyannis, MA 02601-3825

Mailing Address130 North StreetHyannis, MA 02601-3825 · (508) 775-8282 · Fax (508) 775-1414

Phone(508) 775-8282

Fax(508) 775-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateNovember 15, 2007

Last NPPES UpdateAugust 6, 2009

✔ NPI 1063693489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MA · 241246

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

130 NORTH STREET, Hyannis, MA 02601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James W Boyle M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264588011

PECOS Enrollment IDI20090918000321

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

406 services269 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

317 services232 patients

X-ray of ankle, 2 views 73600

An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.

206 services200 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

129 services111 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

76 services76 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

54 services37 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

50 services47 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

35 services27 patients

Incision or partial removal of multiple foot bones to straighten toes 28309

This is a surgical procedure where a small cut is made to remove or adjust part of the bones in your foot. The aim is to straighten your toes and improve your comfort and mobility. It's done under anesthesia, ensuring you feel no pain during the procedure.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Harvest of graft from small bone 20900

Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.

17 services17 patients

Incision or partial removal of foot bone (other than big toe) to straighten toe 28308

This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220012

Location27 Park StreetHyannis, MA 02601 · Barnstable County

Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220135

Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.07

Promoting Interoperability

Improvement Activities

Cost

38.34

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

98%478 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,920 patients5/55-star benchmark: 100%

Falls: Plan of Care

Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months

100%108 patients5/55-star benchmark: 100%

Falls: Risk Assessment

Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months

100%108 patients5/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

17%105 patients1/55-star benchmark: 98%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

14%411 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

94%995 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

95%411 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers56 claims56 services$51.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFF T AUGUST OTRL

Occupational Therapist

130 NORTH STREET, CAPE COD HOSPITAL REHABILITATION
HYANNIS, MA 02601

Barnstable County (508) 771-9600

ANDREW H SMITH MD

Orthopaedic Surgery

130 NORTH STREET
HYANNIS, MA 02601

Barnstable County (508) 775-8282

MR. STEPHEN DONALD MARKEY MS PT

Physical Therapist

130 NORTH STREET, LOWER LEVEL
HYANNIS, MA 02601

Barnstable County (508) 771-9600

JULIA BURNS DOLL

Speech-Language Pathologist

130 NORTH STREET, CAPE COD HOSPITAL OUTPATIENT REHAB DEPT
HYANNIS, MA 02601

Barnstable County (508) 771-9600

MS. SARAH B REISS PT OCS

Physical Therapist

130 NORTH STREET
HYANNIS, MA 02601

Barnstable County (508) 771-9600

MRS. SHARON LEE MYERSON PT

Physical Therapist

130 NORTH STREET, LOWER LEVEL
HYANNIS, MA 02601

Barnstable County (508) 771-9600

MR. DANIEL D CHAPIN NP

Nurse Practitioner

130 NORTH STREET
HYANNIS, MA 02601

Barnstable County (508) 775-8282

TIMOTHY J KINKEAD MD

Orthopaedic Surgery

130 NORTH STREET
HYANNIS, MA 02601

Barnstable County (508) 775-8282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Boyle's NPI number?

The NPI number for James Boyle is 1063693489. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is James Boyle located?

James Boyle practices at 130 North Street, Hyannis, MA 02601. The listed phone number is (508) 775-8282.

What is James Boyle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Boyle enrolled in Medicare?

Yes. James Boyle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Boyle accept?

Health plans from Anthem Blue Cross and Blue Shield list James Boyle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Boyle affiliated with any hospitals?

According to CMS data, James Boyle is affiliated with Cape Cod Hospital, South Shore Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for James Boyle was last updated on August 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.