KENNETH ANDREW BOYLE JR. M.D.
NPI 1427044072
Ophthalmology in Upper Arlington, OH

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
87.98/100
CMS Quality Rating
2250 N BANK DR, UPPER ARLINGTON, OH 43220(614) 451-7550(614) 451-8642 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2023, Apr 26, 2020 (2 updates tracked since 2020).

About Kenneth Andrew Boyle Jr. M.d. NPPES

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

KENNETH ANDREW BOYLE JR. M.D. (NPI 1427044072) is an individual ophthalmology provider in Upper Arlington, Ohio, licensed in Ohio (35.067552) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1993).

NPPES Registry Identity

NPI1427044072
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENNETH ANDREW BOYLE JR.Credential: M.D.
Location Address2250 N BANK DRUpper Arlington, OH 43220-5420
Mailing Address2250 N Bank DrUpper Arlington, OH 43220-5420 · (614) 451-7550 · Fax (614) 451-8642
Fax(614) 451-8642
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1993
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
NPI 1427044072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35.067552
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2250 N BANK DR, Upper Arlington, OH 43220

Other Identifiers 3

Other0920109OH · Aetna
Medicaid2040893OH
Other000000120975OH · Anthem Bcbs

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

Kenneth Andrew Boyle Jr. 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 ID5395639488
PECOS Enrollment IDI20050627001069
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 18

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
642 services614 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
279 services188 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
247 services88 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
189 services41 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.
183 services147 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
149 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

87.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.51
Promoting Interoperability85
Improvement Activities40
Cost81.95

Other Providers at the Same Location NPPES 15

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

Optometrist
2250 N BANK DR
UPPER ARLINGTON, OH 43220
Ophthalmology
2250 N BANK DR
COLUMBUS, OH 43220
Durable Medical Equipment & Medical Supplies
2250 N BANK DR
COLUMBUS, OH 43220
Optometrist
2250 N BANK DR
COLUMBUS, OH 43220
Ophthalmology
2250 N BANK DR
COLUMBUS, OH 43220
Durable Medical Equipment & Medical Supplies
2250 N BANK DR
COLUMBUS, OH 43220
Optometrist
2250 N BANK DR
UPPER ARLINGTON, OH 43220
Ophthalmology
2250 N BANK DR
COLUMBUS, OH 43220

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 Kenneth Boyle's NPI number?

The NPI number for Kenneth Boyle is 1427044072. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Kenneth Boyle located?

Kenneth Boyle practices at 2250 N Bank Dr, Upper Arlington, OH 43220. The listed phone number is (614) 451-7550.

What is Kenneth Boyle's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Boyle enrolled in Medicare?

Yes. Kenneth 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 Kenneth Boyle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Kenneth 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 Kenneth Boyle was last updated on June 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.