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DR. MICHAEL PHILLIP DOYLE MEDICAL DOCTOR
NPI 1265460463
Pediatrics in South Lake Tahoe, CA

Active since June 28, 2006PECOS Enrolled
2074 LAKE TAHOE BLVD, STE 9, SOUTH LAKE TAHOE, CA 96150(530) 541-6100(530) 541-5945 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Phillip Doyle Medical Doctor NPPES

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

DR. MICHAEL PHILLIP DOYLE MEDICAL DOCTOR (NPI 1265460463) is an individual pediatrics provider in South Lake Tahoe, California, licensed in California (G71419) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bishop.

NPPES Registry Identity

NPI1265460463
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHAEL PHILLIP DOYLECredential: MEDICAL DOCTOR
Location Address2074 LAKE TAHOE BLVD, STE 9South Lake Tahoe, CA 96150-6407
Mailing Address2074 Lake Tahoe Blvd, Ste 9South Lake Tahoe, CA 96150-6407 · (530) 541-6100 · Fax (530) 541-5945
Phone(530) 541-6100
Fax(530) 541-5945
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1265460463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G71419
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2074 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Secondary Practice Location 1

Location 1152 Pioneer Ln Ste HBishop, CA 93514-2563 · Phone (760) 873-6373 · Fax (760) 873-3266

Other Identifiers 2

MedicaidGR0005620CA
Medicaid002085724NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Phillip Doyle Medical Doctor 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.

Medicare Billing Reassignment

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

Northern Inyo Associates
138 mi
Clinic/Center
152 PIONEER LN, SUITE D
Bishop, CA 93514
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Northern Inyo Healthcare District
  • Also billed through NPI 1922198712 (California)
  • 131 clinicians in this Medicare group
NPI 1649664848 (760) 872-1606

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 6

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

TAHOE FAMILY HEARING CLINIC, PC
Audiologist
2074 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 318-4010
JENELLE HELENE EZCURRA SANDY AUD
Audiologist
2074 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 318-4010
DR. ROSS W. GROELZ DDS
Dentist (General Practice)
2074 LAKE TAHOE BLVD, SUITE #4
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-4640
DR. RICHARD JOSEPH BECK OD
Optometrist
2074 LAKE TAHOE BLVD, SUITE 2
SO LAKE TAHOE, CA 96150
El Dorado County (530) 541-2030
LAKE TAHOE EYE CARE OPTOMETRY INC
Optometrist
2074 LAKE TAHOE BLVD, SUITE 2
SO LAKE TAHOE, CA 96150
El Dorado County (530) 541-2030
MS. CELESTE MARIE ECKERMAN DDS
Dentist (General Practice)
2074 LAKE TAHOE BLVD, SUITE 4
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-4640

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 Michael Doyle's NPI number?

The NPI number for Michael Doyle is 1265460463. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Michael Doyle located?

Michael Doyle practices at 2074 Lake Tahoe Blvd Ste 9, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-6100.

What is Michael Doyle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Doyle enrolled in Medicare?

Yes. Michael Doyle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Doyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Doyle reassigns Medicare benefits to Northern Inyo Associates (Bishop, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Doyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Doyle was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.