BO MICHAEL KITRELL MD
NPI 1841041548
Dermatology in San Diego, CA

Active since March 29, 2024PECOS Enrolled
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bo Michael Kitrell Md NPPES

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

BO MICHAEL KITRELL MD (NPI 1841041548) is an individual dermatology provider in San Diego, California, licensed in Pennsylvania (MT233830) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841041548
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameBO MICHAEL KITRELLCredential: MD
Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105
Mailing Address16 Woodbine LnDanville, PA 17821-8029 · (570) 271-8050 · Fax (570) 271-5940
Sole ProprietorNo
Enumeration DateMarch 29, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1841041548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MT233830
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4077 FIFTH AVE # MER-35, San Diego, CA 92103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bo Michael Kitrell Md 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 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Military Health Care Provider
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103

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 Kitrell's NPI number?

The NPI number for Bo Kitrell is 1841041548. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Bo Kitrell located?

Bo Kitrell practices at 4077 Fifth Ave # Mer-35, San Diego, CA 92103. The listed phone number is (619) 260-7220.

What is Bo Kitrell's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Bo Kitrell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bo Kitrell was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.