MICHAEL A. BOGGESS M.D.
NPI 1912973249
Otolaryngology - Facial Plastic Surgery in Brentwood, TN

NPI Status: Active since February 27, 2006

Contact Information

213 OVERLOOK CIR STE B3
BRENTWOOD, TN
ZIP 37027
Phone: (615) 942-8016
Fax: (615) 739-5376

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  • Individual
  • Male
  • Otolaryngology
  • Facial Plastic Surgery
  • PECOS Enrolled
  • CLIA Number: 44D2326925
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-11-2027

About MICHAEL BOGGESS

This page provides the complete NPI Profile along with additional information for Michael Boggess, a provider established in Brentwood, Tennessee with a medical specialization in Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1912973249 assigned on February 2006. The practitioner's primary taxonomy code is 207YS0123X with license number 44489 (TN). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1912973249
Provider Name
MICHAEL A. BOGGESS M.D.
Gender
Male
Entity Type
Individual
Location Address
213 OVERLOOK CIR STE B3 BRENTWOOD, TN 37027
Location Phone
(615) 942-8016
Location Fax
(615) 739-5376
Mailing Address
213 OVERLOOK CIR STE B3 BRENTWOOD, TN 37027
Mailing Phone
(615) 942-8016
Mailing Fax
(615) 739-5376
Is Sole Proprietor?
Yes
Enumeration Date
02-27-2006
Last Update Date
11-22-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
License No.
44489
License State
TN
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

31982 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q017030MEDICAID (05)TN 
64007750MEDICAID (05)KY 
H13652MEDICARE UPIN (02)KY 
1834801MEDICARE ID-TYPE UNSPECIFIED (04)KY 

Medicare Participation & PECOS Enrollment Status

Michael Boggess is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2326925
Facility Type
Physician Office
Certificate Effective Date
July 12, 2025
Certificate Expiration Date
July 11, 2027
Laboratory Director
DR. MICHAEL A. BOGGESS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Michael Boggess to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912973249, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 8 + 7 + 6 + 2 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1912973249.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912973249, enumerated as an "individual" on February 27, 2006.

The provider is located at 213 OVERLOOK CIR STE B3 BRENTWOOD, TN 37027 and the phone number is (615) 942-8016.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.