KYLE BODEN MD
NPI 1134624901
Orthopaedic Surgery - Sports Medicine in Maryville, TN

Q: What is Kyle Boden's NPI number?

The NPI number for Kyle Boden is 1134624901. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Kyle Boden's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Boden was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment

827 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 984-0900(865) 984-1035 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2026, Feb 4, 2025, Sep 3, 2024 and 1 more (4 updates tracked since 2018).

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About Kyle Boden Md NPPES

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

KYLE BODEN MD (NPI 1134624901) is an individual sports medicine provider in Maryville, Tennessee, licensed in Tennessee (71179) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2018).

NPPES Registry Identity

NPI1134624901

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameKYLE BODENCredential: MD

Location Address827 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5001

Mailing Address8320 E Walker Springs Ln Ste 200Knoxville, TN 37923-3120 · (865) 769-4500 · Fax (865) 769-4501

Phone(865) 984-0900

Fax(865) 984-1035

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018

Enumeration DateMarch 26, 2018

Last NPPES UpdateJanuary 14, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1134624901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TN · 71179

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 71179 (TN)

827 E LAMAR ALEXANDER PKWY, Maryville, TN 37804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Boden Md 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 ID7719215615

PECOS Enrollment IDI20240625002396

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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Boden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthotennessee, PC

Same address

Multi-Specialty

827 E LAMAR ALEXANDER PKWY
Maryville, TN 37804

Reassigned Medicare billing, Tennessee enrollment
115 clinicians in this Medicare group

NPI 1396133500 (865) 984-0900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

78 services19 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.

58 services48 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

23 services22 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.

22 services22 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

21 services20 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.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440011

Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County

Emergency services Birthing friendly

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.

TYLER HOLT

Physician Assistant