DR. BO TYLER HEADLAM M.D.
NPI 1619939246
Pain Medicine - Interventional Pain Medicine in Portsmouth, OH

Q: What is Bo Headlam's NPI number?

The NPI number for Bo Headlam is 1619939246. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Bo Headlam's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Bo Headlam was last updated on February 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2006PECOS Enrolled

1735 27TH ST, WALLER BUILDING, SUITE 302, PORTSMOUTH, OH 45662(740) 356-6808(740) 356-6826 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2025, Feb 10, 2017 (2 updates tracked since 2017).

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About Dr. Bo Tyler Headlam M.d. NPPES

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

DR. BO TYLER HEADLAM M.D. (NPI 1619939246) is an individual interventional pain medicine provider in Portsmouth, Ohio, licensed in New York (286498) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619939246

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. BO TYLER HEADLAMCredential: M.D.

Location Address1735 27TH ST, WALLER BUILDING, SUITE 302Portsmouth, OH 45662-2677

Mailing Address68 S Service Rd, Suite 100Melville, NY 11747-2354 · (631) 465-2094

Phone(740) 356-6808

Fax(740) 356-6826

Sole ProprietorNo

Enumeration DateApril 6, 2006

Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1619939246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Licenses✔ Licensed in NY · 286498✔ Licensed in NE · 25588✔ Licensed in IL · 036115263✔ Licensed in OH · 35120229

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 25588 (NE), 036115263 (IL), 35120229 (OH), 286498 (NY)

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 25588 (NE), 35120229 (OH)

1735 27TH ST, Portsmouth, OH 45662

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Other Identifiers 1

Other4632039IL · Bcbs Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bo Tyler Headlam M.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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