Active NPI 1467483966 Individual Practitioner Male Practitioner

Dr. Thomas Michael Boyle , MD

Surgery • Grass Valley, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Boyle, MD is a certified Surgery practicing in Grass Valley, CA. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Boyle delivers high-quality medical care to the local community at 123 MARGARET LANE.

Dr. Boyle accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Margaret Lane
Ste B2

Grass Valley, CA 95945

Telephone 5302743509

Fax 5302722072

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grass Valley, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +10.7 yrs vs City Avg

City Avg: 34.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Grass Valley, CA (3346 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

27.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boyle (45 Years) 45 Yrs

Grass Valley Specialty Average (34.3 Years) 34.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	73	$156.63	$118.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	25	$156.00	$99.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	67	$228.62	$181.62
11042 Removal of skin and tissue, 20.0 sq cm or less	94	18	$162.00	$62.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$136.43	$114.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	35	$91.98	$80.05
46221 Removal of external hemorrhoids by rubber banding	79	30	$409.42	$302.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	30	$58.11	$50.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	63	$158.30	$132.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$203.36	$172.97
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$111.12	$94.05
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$89.12	$74.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$70.12	$57.81
49505 Repair of groin hernia (5 years or older)	23	23	$624.57	$532.18
99442 Telephone medical discussion with physician, 11-20 minutes	23	22	$113.43	$76.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$212.77	$174.87
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$69.17	$43.53
55520 Removal of spermatic cord growth	12	12	$547.50	$242.73
76937 Ultrasonic guidance for blood vessel access	11	11	$48.27	$13.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$267.73	$229.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	84	$160.00	$122.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	52	$87.00	$80.59
11042 Removal of skin and tissue, 20.0 sq cm or less	109	29	$166.95	$60.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	81	$250.00	$132.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	39	$53.42	$48.21
46221 Removal of external hemorrhoids by rubber banding	79	31	$1000.00	$295.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	53	$299.63	$176.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$140.00	$114.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$208.00	$169.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	21	$161.21	$99.40
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$114.00	$90.92
99213 Established patient office or other outpatient visit, typically 15 minutes	40	22	$114.00	$67.21
11042 Removal of skin and tissue, 20.0 sq cm or less	34	11	$167.00	$60.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$242.00	$172.87
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$91.00	$74.74
99442 Telephone medical discussion with physician, 11-20 minutes	28	26	$125.00	$90.11
49505 Repair of groin hernia (5 years or older)	21	21	$642.00	$530.80
55520 Removal of spermatic cord growth	20	20	$564.00	$231.91
46600 Diagnostic examination of the anus using an endoscope	20	19	$550.00	$129.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$71.00	$59.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$140.00	$83.75
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$70.00	$56.84
76937 Ultrasonic guidance for blood vessel access	12	12	$51.00	$14.12
19307 Removal of breast and underarm lymph nodes	12	12	$1446.00	$1184.90
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1328.00	$332.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99183 Management and supervision of oxygen chamber therapy per session	222	15	$128.95	$109.75
11042 Removal of skin and tissue, 20.0 sq cm or less	215	48	$164.65	$61.73
99213 Established patient office or other outpatient visit, typically 15 minutes	142	48	$113.18	$68.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	88	$225.84	$137.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	36	$53.64	$32.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	37	$160.93	$100.62
46221 Removal of external hemorrhoids by rubber banding	86	28	$917.79	$309.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	64	$167.69	$134.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$209.16	$172.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	33	$87.13	$70.74
99442 Telephone medical discussion with physician, 11-20 minutes	67	61	$119.52	$93.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	57	$281.69	$186.26
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$114.00	$94.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$141.86	$116.57
49505 Repair of groin hernia (5 years or older)	33	33	$642.00	$543.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$141.62	$85.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$275.00	$229.82
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$91.00	$76.46
55520 Removal of spermatic cord growth	20	20	$564.00	$235.98
46600 Diagnostic examination of the anus using an endoscope	17	16	$456.41	$133.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$80.29	$59.31
99441 Telephone medical discussion with physician, 5-10 minutes	12	11	$70.17	$58.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	219	36	$162.88	$62.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	181	68	$56.92	$39.61
99213 Established patient office or other outpatient visit, typically 15 minutes	174	37	$111.82	$67.66
99183 Management and supervision of oxygen chamber therapy per session	147	14	$128.50	$111.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	23	$176.02	$103.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	67	$174.19	$136.64
99213 Established patient office or other outpatient visit, typically 15 minutes	80	72	$109.51	$94.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	77	$166.71	$139.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	44	$88.29	$74.11
46221 Removal of external hemorrhoids by rubber banding	76	30	$483.92	$315.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	51	$75.47	$53.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$207.20	$175.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$147.53	$116.05
99442 Telephone medical discussion with physician, 11-20 minutes	46	42	$113.98	$96.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$221.35	$190.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$244.00	$206.51
46600 Diagnostic examination of the anus using an endoscope	20	17	$196.32	$132.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$149.90	$86.52
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$93.84	$76.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$104.81	$37.43
49505 Repair of groin hernia (5 years or older)	15	15	$822.27	$576.97
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$71.00	$59.67
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1438.08	$318.88
44140 Partial removal of large bowel	11	11	$1535.45	$1271.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$275.00	$232.50
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$122.00	$103.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	211	44	$147.03	$64.29
99213 Established patient office or other outpatient visit, typically 15 minutes	202	43	$85.97	$52.56
99213 Established patient office or other outpatient visit, typically 15 minutes	133	95	$93.53	$78.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	102	$58.10	$47.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	112	40	$51.73	$40.92
99183 Management and supervision of oxygen chamber therapy per session	97	11	$130.12	$114.38
46221 Removal of external hemorrhoids by rubber banding	97	34	$350.18	$295.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	28	$123.65	$82.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	65	$169.10	$143.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	49	$133.73	$114.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$212.38	$171.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	30	$90.00	$75.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$137.93	$113.08
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$100.19	$80.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$200.03	$134.58
49505 Repair of groin hernia (5 years or older)	19	19	$763.24	$548.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$54.42	$26.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$127.47	$78.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	302	59	$185.00	$63.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	39	$125.00	$81.06
99213 Established patient office or other outpatient visit, typically 15 minutes	174	117	$90.00	$77.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	150	$70.00	$47.43
99213 Established patient office or other outpatient visit, typically 15 minutes	147	46	$90.03	$52.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	120	47	$100.00	$40.33
46221 Removal of external hemorrhoids by rubber banding	96	36	$325.00	$289.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$250.00	$170.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	78	$160.00	$140.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$175.00	$112.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	67	$125.00	$113.55
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	78	13	$124.00	$26.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	36	$120.00	$74.70
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$125.00	$79.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$250.00	$132.12
49505 Repair of groin hernia (5 years or older)	31	31	$1221.61	$549.82
46600 Diagnostic examination of the anus using an endoscope	26	20	$130.00	$102.43
38792 Injection of radioactive material for x-ray identification of lymph node	21	21	$125.00	$18.01
47562 Removal of gallbladder using an endoscope	18	18	$1748.97	$546.16
19302 Partial removal of breast and underarm lymph nodes	11	11	$2400.00	$849.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$77.77
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1500.00	$341.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	307	60	$181.11	$63.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	180	61	$99.67	$39.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	50	$124.31	$79.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	98	$124.54	$111.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	111	$69.41	$45.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$246.24	$168.52
46221 Removal of external hemorrhoids by rubber banding	100	32	$323.49	$282.71
99213 Established patient office or other outpatient visit, typically 15 minutes	97	79	$89.72	$75.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	91	$159.79	$138.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	58	$119.51	$73.95
99213 Established patient office or other outpatient visit, typically 15 minutes	58	33	$89.77	$52.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$175.00	$110.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$240.32	$130.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	13	$189.22	$112.71
49505 Repair of groin hernia (5 years or older)	28	28	$1162.07	$532.66
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$125.00	$77.64
38792 Injection of radioactive material for x-ray identification of lymph node	13	13	$118.61	$20.64
19302 Partial removal of breast and underarm lymph nodes	12	12	$2400.00	$898.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	204	57	$185.00	$63.52
99183 Management and supervision of oxygen chamber therapy per session	112	11	$250.00	$111.44
99213 Established patient office or other outpatient visit, typically 15 minutes	111	93	$90.00	$75.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	98	$70.00	$45.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	53	$99.63	$39.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	76	$125.00	$111.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	94	89	$160.00	$139.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$250.00	$168.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	44	$120.00	$73.55
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	75	14	$250.00	$86.62
46221 Removal of external hemorrhoids by rubber banding	61	24	$325.00	$281.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	31	$125.00	$80.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$250.00	$131.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$175.00	$111.13
99213 Established patient office or other outpatient visit, typically 15 minutes	33	23	$90.00	$51.88
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$125.00	$77.52
49505 Repair of groin hernia (5 years or older)	22	22	$1244.77	$514.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	14	$190.00	$113.06
47562 Removal of gallbladder using an endoscope	13	13	$2045.00	$664.38

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G56911

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G569110 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Kennan Runte , DPM

Podiatrist

NPI 1134196751

Doctor of Podiatric Medicine

Dr. Jay Patt , DC

Chiropractor

NPI 1871685941

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location November 25, 2008

Registered at 123 MARGARET LANE, STE B2, GRASS VALLEY, CA 95945 (Tel: 5302743509)

📍

Updated Business Mailing Address November 25, 2008

Registered at 123 MARGARET LANE, STE B2, GRASS VALLEY, CA 95945 (Tel: 5302743509)

👤

Provider Name / Credentials Updated November 25, 2008

Recorded as THOMAS BOYLE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2008

Surgery (License #G56911 in CA)

🟢

Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467483966

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 05, 2006

Last Update: November 25, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

123 Margaret Lane, Ste B2

Grass Valley, CA 95945

Phone: 5302743509

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.