KYLE BOHAN D.O.
NPI 1457730855
Family Medicine in Tucson, AZ

Q: What is Kyle Bohan's NPI number?

The NPI number for Kyle Bohan is 1457730855. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Q: What is Kyle Bohan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Bohan was last updated on February 19, 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.

Active since May 19, 2015PECOS EnrolledAccepts Medicare Assignment

3950 S COUNTRY CLUB RD STE 130, TUCSON, AZ 85714(520) 670-3909 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2024, Aug 17, 2021, Dec 30, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Kyle Bohan D.o. NPPES

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

KYLE BOHAN D.O. (NPI 1457730855) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (010766) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1457730855

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKYLE BOHANCredential: D.O.

Location Address3950 S COUNTRY CLUB RD STE 130Tucson, AZ 85714-2203

Mailing Address3950 S Country Club RdTucson, AZ 85714-2099 · (520) 724-7770 · Fax (520) 309-2560

Phone(520) 670-3909

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 19, 2015

Last NPPES UpdateFebruary 19, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2024

✔ NPI 1457730855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AZ · 010766✔ Licensed in WI · 69257✔ Licensed in IL · 036144438✔ Licensed in NM · A-2495-21

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3950 S COUNTRY CLUB RD STE 130, Tucson, AZ 85714

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Secondary Practice Locations 4

Location 15425 W Lake StChicago, IL 60644 · Phone (773) 378-3347 · Fax (773) 378-4028

Location 24570 S 27th StMilwaukee, WI 53221-2145 · Phone (414) 672-1353 · Fax (414) 672-4265

Location 31032 S Cesar E Chavez DrMilwaukee, WI 53204 · Phone (414) 672-1353 · Fax (414) 672-4265

Location 43 Erie CtOak Park, IL 60302-2519 · Phone (708) 406-3929

Other Identifiers 1

Medicaid1457730855WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona 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 and accepts Medicare assignment

Kyle Bohan D.o. 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 ID648528208

PECOS Enrollment IDI20240308002659

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

18 services15 patients

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.

15 services15 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.

14 services14 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85714 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

33%30 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

29%78 patients2/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

15%40 patients1/55-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 20

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

SYDNIE WEBER MD

Family Medicine