1. Home
  2. Directory
  3. Ohio
  4. Portsmouth
  5. Pain Medicine
  6. NPI Profile

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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Other4632039IL · Bcbs Group

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Bo Headlam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uptown Nyc Medical, Inc
496 mi
General Practice
65 BROADWAY STE 1004
New York, NY 10006
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1811440456 (646) 559-0585
Uptown Healthcare Management Inc
503 mi
Podiatrist
1778 JEROME AVE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1669644837 (New York)
  • 26 clinicians in this Medicare group
NPI 1386673937 (718) 583-3300
Progressed Medical Professional Corporation
527 mi
Primary Care
68 S SERVICE RD STE 100
Melville, NY 11747
  • Reassigned Medicare billing, New York enrollment
NPI 1851003636 (646) 895-1174

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 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.

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. RITA SUE ROBERTS D.O.
Family Medicine
1735 27TH ST, WALLER BUILDING, SUITE 206
PORTSMOUTH, OH 45662
Scioto County (740) 354-7600
NADIA M CHAMMAS-AOUN M.D.
Internal Medicine
1735 27TH ST, WALLER BUILDING, SUITE 108
PORTSMOUTH, OH 45662
Scioto County (740) 356-6891
FRED COURTNEY III DO
Obstetrics & Gynecology
1735 27TH ST, WALLER BUILDING, SUITE 202
PORTSMOUTH, OH 45662
Scioto County (740) 356-2496
DR. MAJA BABIC MD
Internal Medicine (Infectious Disease)
1735 27TH ST, WALLER BUILDING, SUITE 206
PORTSMOUTH, OH 45662
Scioto County (740) 355-9240
MRS. MELINDA M SNOOK N P
Nurse Practitioner
1735 27TH ST, WALLER BUILDING SUITE 207
PORTSMOUTH, OH 45662
Scioto County (740) 356-8773
REBECCA J SCHOETTLE PEDIATRICS INC
Pediatrics
1735 27TH ST, SUITE 201
PORTSMOUTH, OH 45662
Scioto County (740) 353-6500
PULMONARY CRITICAL CARE INC
Internal Medicine (Pulmonary Disease)
1735 27TH ST, BLDG C SUITE 108
PORTSMOUTH, OH 45662
Scioto County (740) 354-5891
DEREK HARMON D.O.
Emergency Medicine
1735 27TH ST, WALLER BUILDING, SUITE B06
PORTSMOUTH, OH 45662
Scioto County (740) 356-8051

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 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.

Where is Bo Headlam located?

Bo Headlam practices at 1735 27th St Waller Building, Suite 302, Portsmouth, OH 45662. The listed phone number is (740) 356-6808.

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.

Is Bo Headlam enrolled in Medicare?

Yes. Bo Headlam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bo Headlam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bo Headlam reassigns Medicare benefits to 3 organizations: Uptown Nyc Medical, Inc (New York, NY), Uptown Healthcare Management Inc (Bronx, NY) and Progressed Medical Professional Corporation (Melville, NY). Each 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 Bo Headlam'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 Bo Headlam was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.