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DR. JOHN DAVID O'BOYLE M.D.
NPI 1306808381
Obstetrics & Gynecology - Gynecologic Oncology in Lacey, WA

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
4525 3RD AVE SE STE 200, LACEY, WA 98503(360) 754-3934(360) 943-8023 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2021, Aug 27, 2018 (2 updates tracked since 2018).

About Dr. John David O'boyle M.d. NPPES

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

DR. JOHN DAVID O'BOYLE M.D. (NPI 1306808381) is an individual gynecologic oncology provider in Lacey, Washington, licensed in Washington (MD00039398) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1992).

NPPES Registry Identity

NPI1306808381
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. JOHN DAVID O'BOYLECredential: M.D.
Location Address4525 3RD AVE SE STE 200Lacey, WA 98503
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(360) 754-3934
Fax(360) 943-8023
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1992
Enumeration DateApril 5, 2006
Last NPPES UpdateMarch 23, 20242 updates tracked since enumeration
NPPES CertifiedMarch 23, 2024
✔ NPI 1306808381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in WA · MD00039398
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
4525 3RD AVE SE STE 200, Lacey, WA 98503
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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, MedMutual, Network Health.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

Dr. John David O'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 ID6901171636
PECOS Enrollment IDI20240410003801, I20240410004046, I20251006002197, I20260116001476, I20260608001387
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 Reassignments

9

Medicare enrollment records show John O'boyle reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
0.1 mi
Clinic/Center
420 GOLF CLUB RD SE, SUITE 203
Lacey, WA 98503
  • Reassigned Medicare billing, Washington enrollment
  • 184 clinicians in this Medicare group
NPI 1063611408 (360) 493-7469
Providence Health & Services Washington
1.1 mi
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Providence Health & Services Washington
24 mi
General Acute Care Hospital
914 S SCHEUBER RD
Centralia, WA 98531
  • Reassigned Medicare billing, Washington enrollment
  • 85 clinicians in this Medicare group
NPI 1275732661 (360) 736-2803
Group Health, Inc.
1,365 mi
Health Service
430 GREAT OAK DRIVE
Waite Park, MN 56387
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1457836454 (320) 203-2400
Park Nicollet Clinic
1,413 mi
Family Medicine
7000 TARGET PKWY N
Brooklyn Park, MN 55445
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1447668678 (952) 977-1985
Columbia St. Mary's Hospital Milwaukee, Inc
1,711 mi
Multi-Specialty
13111 N PORT WASHINGTON RD
Mequon, WI 53097
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1710928221 (414) 270-4932
Ohio Physician Professional Corporation
2,086 mi
Hospitalist
2600 SIXTH ST SW
Canton, OH 44710
  • Reassigned Medicare billing, Ohio enrollment
  • 189 clinicians in this Medicare group
NPI 1417016973 (330) 479-8705
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
2,326 mi
Health Maintenance Organization
19450 DEERFIELD AVE
Lansdowne, VA 20176
NPI 1225156367 (703) 726-2100
Luminis Health Medical Group, LLC
2,354 mi
Clinic/Center
2970 BELCREST CENTER DR
Hyattsville, MD 20782
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1528899366 (District of Columbia)
  • 794 clinicians in this Medicare group
NPI 1811494990 (443) 481-1000

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

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.

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.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD
2/5 CMS rating
OwnershipProprietary
CMS Certification Number210051
Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County
Emergency services

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

DR. CRYSTAL LYNN ADAMS MD
Obstetrics & Gynecology (Gynecologic Oncology)
4525 3RD AVE SE STE 200
LACEY, WA 98503
Thurston County (360) 754-3934
MIJUNG LEE MD
Internal Medicine (Medical Oncology)
4525 3RD AVE SE STE 200
LACEY, WA 98503
Thurston County (360) 754-3934
KELLY A. HACKNEY PHARM.D.
Pharmacist
4525 3RD AVE SE STE 200
LACEY, WA 98503
Thurston County (360) 301-8111
KA SON
Pharmacist (Oncology)
4525 3RD AVE SE STE 200
LACEY, WA 98503
Thurston County (360) 754-3934
TRUC THANH NGUYEN PHARMD
Pharmacist (Oncology)
4525 3RD AVE SE STE 200
OLYMPIA, WA 98503
Thurston County (360) 412-8983
MS. NORA GANT ARNP, MN
Nurse Practitioner (Adult Health)
4525 3RD AVE SE STE 200
LACEY, WA 98503
Thurston County (360) 493-4504
ROBERT MARTIN ORE M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
4525 3RD AVE SE STE 200
LACEY, WA 98503
Thurston County (360) 754-3934
ROBIN WOOLDRIDGE PHARM.D., BCPS
Pharmacist (Pharmacotherapy)
4525 3RD AVE SE STE 200
LACEY, WA 98503
Thurston County (360) 412-8983

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 John O'boyle's NPI number?

The NPI number for John O'boyle is 1306808381. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is John O'boyle located?

John O'boyle practices at 4525 3rd Ave SE Ste 200, Lacey, WA 98503. The listed phone number is (360) 754-3934.

What is John O'boyle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is John O'boyle enrolled in Medicare?

Yes. John O'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.

Which organizations bill Medicare for John O'boyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John O'boyle reassigns Medicare benefits to 9 organizations: Providence Health & Services Washington (Lacey, WA), Providence Health & Services Washington (Olympia, WA), Providence Health & Services Washington (Centralia, WA), Group Health, Inc. (Waite Park, MN), Park Nicollet Clinic (Brooklyn Park, MN) and 4 more organizations, listed in the Medicare section above. Each 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 John O'boyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John O'boyle accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Network Health list John O'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 John O'boyle affiliated with any hospitals?

According to CMS data, John O'boyle is affiliated with Luminis Health Anne Arundel Medical Center, Inc, Luminis Health Doctors Community Medical Ctr, Inc, Regions Hospital, Aultman Hospital and Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for John O'boyle was last updated on March 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.