DR. MISTY LYNN BOYD PH.D.
NPI 1568455764
Psychologist - Clinical in Tahlequah, OK

Active since August 24, 2005PECOS Enrolled
1200 W 4TH ST, SUITE D, TAHLEQUAH, OK 74464(918) 458-6285(918) 458-7601 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Misty Lynn Boyd Ph.d. NPPES

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

DR. MISTY LYNN BOYD PH.D. (NPI 1568455764) is an individual clinical provider in Tahlequah, Oklahoma, licensed in Oklahoma (983) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568455764
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MISTY LYNN BOYDCredential: PH.D.
Location Address1200 W 4TH ST, SUITE DTahlequah, OK 74464-5013
Mailing Address1200 W 4th StTahlequah, OK 74464-5013 · (918) 458-6285 · Fax (918) 458-7601
Fax(918) 458-7601
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1568455764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OK · 983
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1200 W 4TH ST, Tahlequah, OK 74464

Other Names 1

Former Name (1)Misty Lynn Atwood

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Misty Lynn Boyd Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Misty Boyd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
1921 STONECIPHER BLVD
Ada, OK 74820
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
  • 324 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 5

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

Dentist
1200 W 4TH ST
TAHLEQUAH, OK 74464
Dentist (General Practice)
1200 W 4TH ST, SUITE A
TAHLEQUAH, OK 74464
Nurse's Aide
1200 W 4TH ST, STE. D
TAHLEQUAH, OK 74464
Nurse's Aide
1200 W 4TH ST, STE. D
TAHLEQUAH, OK 74464
Dentist (General Practice)
1200 W 4TH ST
TAHLEQUAH, OK 74464

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 Misty Boyd's NPI number?

The NPI number for Misty Boyd is 1568455764. It was assigned to this individual provider in the NPPES registry on August 24, 2005. The provider is also known as Misty Lynn Atwood.

Where is Misty Boyd located?

Misty Boyd practices at 1200 W 4th St Suite D, Tahlequah, OK 74464. The listed phone number is (918) 458-6285.

What is Misty Boyd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Misty Boyd enrolled in Medicare?

Yes. Misty Boyd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Misty Boyd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Boyd reassigns Medicare benefits to Chickasaw Nation Division Of Health (Ada, OK). 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 Misty Boyd'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 Misty Boyd was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.