DR. HEATHER KATHLEEN BOYLE M.D.
NPI 1417127564
Psychiatry & Neurology - Psychiatry in Flagstaff, AZ

Active since March 05, 2008PECOS EnrolledAccepts Medicare Assignment
1515 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001(928) 774-0108(928) 774-2801 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2018, Feb 22, 2016 (2 updates tracked since 2016).

About Dr. Heather Kathleen Boyle M.d. NPPES

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

DR. HEATHER KATHLEEN BOYLE M.D. (NPI 1417127564) is an individual psychiatry provider in Flagstaff, Arizona, licensed in Arizona (38148) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2002).

NPPES Registry Identity

NPI1417127564
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. HEATHER KATHLEEN BOYLECredential: M.D.
Location Address1515 N SAN FRANCISCO STFlagstaff, AZ 86001-1435
Mailing Address1515 N San Francisco StFlagstaff, AZ 86001-1435 · (928) 774-0108 · Fax (928) 774-2801
Fax(928) 774-2801
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2002
Enumeration DateMarch 5, 2008
Last NPPES UpdateJuly 16, 20182 updates tracked since enumeration
NPI 1417127564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in AZ · 38148
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 38148 (AZ)
1515 N SAN FRANCISCO ST, Flagstaff, AZ 86001

Accepted 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. Heather Kathleen 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 ID8325104862
PECOS Enrollment IDI20090306000455
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 4

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.
461 services33 patients
Psychotherapy with evaluation and management visit, 1 hour 90838
Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.
279 services13 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
198 services28 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified
36%36 patients2/55-star benchmark: 99%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
9%32 patients
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.
43%1,865 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…
1%145 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
9%35 patients1/55-star benchmark: 96%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 44 patients
2%44 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.

Other Providers at the Same Location NPPES 10

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

Psychiatry & Neurology (Psychiatry)
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Psychiatry & Neurology (Psychiatry)
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Marriage & Family Therapist
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Psychologist
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Psychiatry & Neurology (Psychiatry)
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Psychiatry & Neurology (Psychiatry)
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Psychiatry & Neurology (Psychiatry)
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Psychologist
1515 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001

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 Heather Boyle's NPI number?

The NPI number for Heather Boyle is 1417127564. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Heather Boyle located?

Heather Boyle practices at 1515 N San Francisco St, Flagstaff, AZ 86001. The listed phone number is (928) 774-0108.

What is Heather Boyle's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Heather Boyle enrolled in Medicare?

Yes. Heather 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 Heather Boyle accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Heather 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.

When was this NPI record last updated?

The NPPES record for Heather Boyle was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.