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DR. MICHELLE BOYLSTON DO
NPI 1821518358
Internal Medicine in Fayetteville, NC

Active since June 26, 2017PECOS EnrolledAccepts Medicare Assignment
1638 OWEN DR # 138, FAYETTEVILLE, NC 28304(910) 615-4530 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jan 14, 2021, Jun 26, 2017 (3 updates tracked since 2017).

About Dr. Michelle Boylston Do NPPES

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

DR. MICHELLE BOYLSTON DO (NPI 1821518358) is an individual internal medicine provider in Fayetteville, North Carolina, licensed in North Carolina (2021-00118) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821518358
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHELLE BOYLSTONCredential: DO
Location Address1638 OWEN DR # 138Fayetteville, NC 28304-3424
Mailing Address1638 Owen Dr # 138Fayetteville, NC 28304-3424 · (910) 615-4530
Phone(910) 615-4530
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 26, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
✔ NPI 1821518358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2021-00118
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1638 OWEN DR # 138, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Dr. Michelle Boylston 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 ID1355617168
PECOS Enrollment IDI20241031002795
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

2

Medicare enrollment records show Michelle Boylston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cumberland County Hospital System Inc
Same address
Nurse Practitioner
1638 OWEN DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1063964708 (910) 615-5490
Hospital Medicine Services Of Tx, PLLC
1,209 mi
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
NPI 1881392363 (210) 575-4000

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 7

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

SHREEBRIDHI PANDE MD
Student in an Organized Health Care Education/Training Program
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3780
DR. SAMANTHA LYNN HORVATH BRIDGES DO
Obstetrics & Gynecology
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4430
DR. MICHAEL JOSEPH KINGBERG DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5095
DR. SCOTT SYNDERGAARD DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4530
DR. JULIE PUZZO DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5095
DR. CHRISTOPHER RYAN BENTON DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4530
SUMAIRA FATIMA MD
Student in an Organized Health Care Education/Training Program
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3780

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 Michelle Boylston's NPI number?

The NPI number for Michelle Boylston is 1821518358. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Michelle Boylston located?

Michelle Boylston practices at 1638 Owen Dr # 138, Fayetteville, NC 28304. The listed phone number is (910) 615-4530.

What is Michelle Boylston's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michelle Boylston enrolled in Medicare?

Yes. Michelle Boylston 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 organizations bill Medicare for Michelle Boylston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Boylston reassigns Medicare benefits to 2 organizations: Cumberland County Hospital System Inc (Fayetteville, NC) and Hospital Medicine Services Of Tx, PLLC (San Antonio, TX). 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 Michelle Boylston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Boylston accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of Texas and 3 other insurers list Michelle Boylston 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 Michelle Boylston affiliated with any hospitals?

According to CMS data, Michelle Boylston is affiliated with Methodist Hospital, Hill Country Memorial Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Michelle Boylston was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.