MATTHEW BOEHME D.O.
NPI 1215460183
Internal Medicine in Tyler, TX

Q: What is Matthew Boehme's NPI number?

The NPI number for Matthew Boehme is 1215460183. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Q: What is Matthew Boehme's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Boehme was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 07, 2017PECOS Enrolled

2231 W GENTRY PKWY, TYLER, TX 75702(903) 535-9041(903) 787-5098 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2026, Nov 20, 2024, Jul 23, 2020 and 1 more (4 updates tracked since 2020).

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About Matthew Boehme D.o. NPPES

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

MATTHEW BOEHME D.O. (NPI 1215460183) is an individual internal medicine provider in Tyler, Texas, licensed in Texas (S5562) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215460183

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMATTHEW BOEHMECredential: D.O.

Location Address2231 W GENTRY PKWYTyler, TX 75702-2809

Mailing Address1000 E 5th St Ste 400Tyler, TX 75701-3362 · (903) 596-3500 · Fax (903) 596-3536

Phone(903) 535-9041

Fax(903) 787-5098

Sole ProprietorNo

Enumeration DateApril 7, 2017

Last NPPES UpdateFebruary 2, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1215460183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · S5562

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2231 W GENTRY PKWY, Tyler, TX 75702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Boehme D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 7

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

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