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KATHERINE BOEHM DO
NPI 1497375232
Family Medicine - Sports Medicine in San Diego, CA

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
6699 ALVARADO RD, SUITE 2100, SAN DIEGO, CA 92120(619) 229-3909 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2023, Apr 22, 2020 (2 updates tracked since 2020).

About Katherine Boehm Do NPPES

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

KATHERINE BOEHM DO (NPI 1497375232) is an individual sports medicine provider in San Diego, California, licensed in California (20A20113) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497375232
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameKATHERINE BOEHMCredential: DO
Location Address6699 ALVARADO RD, SUITE 2100San Diego, CA 92120
Mailing Address6699 Alvarado Rd, Suite 2100San Diego, CA 92120 · (619) 229-3909
Phone(619) 229-3909
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2020
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1497375232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · 20A20113
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6699 ALVARADO RD, San Diego, CA 92120
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1147 N Brent StVentura, CA 93003-2809 · Phone (805) 948-5672
Location 22800 E Ajo Way Ste 200Tucson, AZ 85713-6204 · Phone (520) 694-8000 · Fax (520) 874-9001

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

Katherine Boehm Do 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 ID1658766621
PECOS Enrollment IDI20240927002382
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 Katherine Boehm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sd Sports Medicine And Family Health Center
Same address
Multi-Specialty
6699 ALVARADO RD, STE 2100
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 41 clinicians in this Medicare group
NPI 1669472510 (619) 229-3909

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 5

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 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.
46 services42 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.
44 services40 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.
24 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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. DONALD TRIOLO D.P.M.
Podiatrist
6699 ALVARADO RD, SUITE 2201
SAN DIEGO, CA 92120
San Diego County (619) 583-8160
DR. LEE P RALPH MD
Family Medicine (Sports Medicine)
6699 ALVARADO RD, SUITE 2100
SAN DIEGO, CA 92120
San Diego County (619) 229-3909
BORIS KHAMISHON NEUROLOGY
Psychiatry & Neurology (Neurology)
6699 ALVARADO RD, #2301
SAN DIEGO, CA 92120
San Diego County (619) 582-2595
SUMANA & ANANTHRAM REDDY MD INC
Internal Medicine (Gastroenterology)
6699 ALVARADO RD, SUITE 2301
SAN DIEGO, CA 92120
San Diego County (619) 588-4074
OLEG M. GAVRILYUK, M.D., PC
Physical Medicine & Rehabilitation
6699 ALVARADO RD, #2302
SAN DIEGO, CA 92120
San Diego County (619) 764-0330
DR. BRUCE ALLEN BRAZINSKY D.P.M.
Podiatrist
6699 ALVARADO RD, STE. 2201
SAN DIEGO, CA 92120
San Diego County (619) 583-8592
ANTHONY J CUOMO MD INC
Internal Medicine (Pulmonary Disease)
6699 ALVARADO RD, SUITE 2308
SAN DIEGO, CA 92120
San Diego County (619) 462-9010
MRS. CHRISTINE YANG KO MD
Family Medicine
6699 ALVARADO RD, SUITE 2100
SAN DIEGO, CA 92120
San Diego County (619) 229-3909

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 Katherine Boehm's NPI number?

The NPI number for Katherine Boehm is 1497375232. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Katherine Boehm located?

Katherine Boehm practices at 6699 Alvarado Rd Suite 2100, San Diego, CA 92120. The listed phone number is (619) 229-3909.

What is Katherine Boehm's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Katherine Boehm enrolled in Medicare?

Yes. Katherine Boehm 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 organization bills Medicare for Katherine Boehm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Boehm reassigns Medicare benefits to Sd Sports Medicine And Family Health Center (San Diego, 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 Katherine Boehm'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 Katherine Boehm was last updated on October 31, 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.