1. Home
  2. Directory
  3. Tennessee
  4. Greeneville
  5. Orthopaedic Surgery
  6. NPI Profile

KYLE W BOREN DO
NPI 1619256328
Orthopaedic Surgery in Greeneville, TN

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment
1420 TUSCULUM BLVD FL 4, GREENEVILLE, TN 37745(423) 639-2103(423) 783-5515 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2017, Dec 27, 2016, Dec 22, 2016 (3 updates tracked since 2016).

About Kyle W Boren Do NPPES

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

KYLE W BOREN DO (NPI 1619256328) is an individual orthopaedic surgery provider in Greeneville, Tennessee, licensed in Tennessee (3143) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Greeneville Community Hospital, and is a graduate of Lincoln Memorial University Medical Department (2011).

NPPES Registry Identity

NPI1619256328
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKYLE W BORENCredential: DO
Location Address1420 TUSCULUM BLVD FL 4Greeneville, TN 37745-4279
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 639-2103
Fax(423) 783-5515
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2011
Enumeration DateAugust 11, 2011
Last NPPES UpdateFebruary 26, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1619256328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 3143
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 33 (TN)
1420 TUSCULUM BLVD FL 4, Greeneville, TN 37745
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ025878TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Kyle W Boren 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 ID8527340322
PECOS Enrollment IDI20170130002605
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 Kyle Boren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellmont Medical Associates, Inc.
20 mi
Internal Medicine
405 SCENIC DR, SUITE A
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1689032575 (423) 921-3490

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 8

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.
178 services91 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.
73 services30 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.
48 services48 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
40 services25 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
33 services20 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.
31 services23 patients

Hospital Affiliations CMS Care Compare

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

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES

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

MR. KEVIN ROJAS PHYSICAN ASSISTANT P
Physician Assistant (Surgical)
1420 TUSCULUM BLVD FL 4
GREENEVILLE, TN 37745
Greene County (423) 783-5510

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 Kyle Boren's NPI number?

The NPI number for Kyle Boren is 1619256328. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Kyle Boren located?

Kyle Boren practices at 1420 Tusculum Blvd Fl 4, Greeneville, TN 37745. The listed phone number is (423) 639-2103.

What is Kyle Boren's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kyle Boren enrolled in Medicare?

Yes. Kyle Boren 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 Kyle Boren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Boren reassigns Medicare benefits to Wellmont Medical Associates, Inc. (Rogersville, TN). 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 Kyle Boren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Boren accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Kyle Boren 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 Kyle Boren affiliated with any hospitals?

According to CMS data, Kyle Boren is affiliated with Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Boren was last updated on February 26, 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.