KOHLDON CARTER BOYDSTON MD
NPI 1518320100
Urology in Wauwatosa, WI

Q: What is Kohldon Boydston's NPI number?

The NPI number for Kohldon Boydston is 1518320100. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Kohldon Boydston's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kohldon Boydston was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

2600 N MAYFAIR RD STE 545, WAUWATOSA, WI 53226(414) 476-0430 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2022, Mar 31, 2016 (2 updates tracked since 2016).

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About Kohldon Carter Boydston Md NPPES

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

KOHLDON CARTER BOYDSTON MD (NPI 1518320100) is an individual urology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (76733) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1518320100

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameKOHLDON CARTER BOYDSTONCredential: MD

Location Address2600 N MAYFAIR RD STE 545Wauwatosa, WI 53226-1306

Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111

Phone(414) 476-0430

Sole ProprietorYes

Medical School CMSRush Medical College Of Rush UniversityGraduated 2016

Enumeration DateMarch 31, 2016

Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2022

✔ NPI 1518320100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in WI · 76733

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2600 N MAYFAIR RD STE 545, Wauwatosa, WI 53226

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Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Kohldon Carter Boydston Md 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 ID5294028809

PECOS Enrollment IDI20220315001160

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 21

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.

136 services111 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

77 services59 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.

45 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

39 services11 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

39 services34 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

34 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

26 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

24 services21 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

22 services17 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

22 services19 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

21 services19 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

21 services21 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

16 services16 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

12 services11 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

12 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

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

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520078

Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County

Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

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Other Providers at the Same Location NPPES

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

NADINE GROH FNP

Nurse Practitioner (Family)

2600 N MAYFAIR RD STE 545
WAUWATOSA, WI 53226

Milwaukee County (414) 476-0430

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 Kohldon Boydston's NPI number?

The NPI number for Kohldon Boydston is 1518320100. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Kohldon Boydston located?

Kohldon Boydston practices at 2600 N Mayfair Rd Ste 545, Wauwatosa, WI 53226. The listed phone number is (414) 476-0430.

What is Kohldon Boydston's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kohldon Boydston enrolled in Medicare?

Yes. Kohldon Boydston 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 Kohldon Boydston accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Kohldon Boydston 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 Kohldon Boydston affiliated with any hospitals?

According to CMS data, Kohldon Boydston is affiliated with Froedtert South Inc., Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Kohldon Boydston was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.