Active NPI 1417243254 Individual Practitioner Male Practitioner

Dr. Kyle Jordan Marthaller , MD

Surgery • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Marthaller, MD is a certified Surgery practicing in Boulder, CO. With approximately 15 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 2011, Dr. Marthaller delivers high-quality medical care to the local community at 4743 ARAPAHOE AVE.

Dr. Marthaller is affiliated with Boulder Community Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4743 Arapahoe Ave
Suite 100

Boulder, CO 803031113

Telephone 3034432123

Fax 3034439497

Associated Practice Facility / Clinic

🏢 Charles Jones Md Pc Facility NPI 1376557967

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boulder, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -14.1 yrs vs City Avg

City Avg: 29.1 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Boulder, CO (635 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marthaller (15 Years) 15 Yrs

Boulder Specialty Average (29.1 Years) 29.1 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$327.75	$165.03
99213 Established patient office or other outpatient visit, typically 15 minutes	51	32	$179.39	$90.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	44	$153.20	$77.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	32	$250.72	$127.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$340.59	$169.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	22	$186.84	$95.36
11042 Removal of skin and tissue, 20.0 sq cm or less	32	26	$118.84	$59.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	22	$95.96	$48.36
49650 Repair of groin hernia using an endoscope	18	18	$1235.50	$514.82
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$127.60	$64.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$260.14	$131.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	35	$91.00	$48.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$307.00	$164.14
99213 Established patient office or other outpatient visit, typically 15 minutes	34	19	$121.00	$64.04
99213 Established patient office or other outpatient visit, typically 15 minutes	33	18	$167.00	$89.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$339.00	$172.17
11042 Removal of skin and tissue, 20.0 sq cm or less	21	17	$110.00	$59.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$235.52	$127.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$178.00	$96.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$237.00	$129.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	18	$145.00	$78.53
49650 Repair of groin hernia using an endoscope	14	14	$1077.57	$494.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	35	$120.64	$89.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$274.63	$169.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	23	$120.00	$70.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	22	$66.00	$38.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$176.44	$123.76
99213 Established patient office or other outpatient visit, typically 15 minutes	23	14	$112.00	$67.58
11042 Removal of skin and tissue, 20.0 sq cm or less	20	12	$167.40	$107.39
11042 Removal of skin and tissue, 20.0 sq cm or less	19	16	$102.00	$58.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$230.00	$135.83
49650 Repair of groin hernia using an endoscope	14	14	$1084.50	$539.50

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	63	32	$172.14	$119.99
99213 Established patient office or other outpatient visit, typically 15 minutes	52	23	$116.81	$80.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$269.22	$164.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	25	$120.00	$70.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$230.00	$133.91
11042 Removal of skin and tissue, 20.0 sq cm or less	23	16	$125.70	$77.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	16	$173.00	$104.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$116.00	$65.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	25	$119.79	$74.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$228.07	$142.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$169.07	$94.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$259.00	$151.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$177.18	$107.55
99291 Critical care, first 30-74 minutes	14	12	$460.00	$228.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	40	$112.00	$63.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$164.00	$100.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$250.00	$153.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$320.00	$201.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$114.00	$74.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	36	$112.00	$66.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	19	$114.00	$73.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$320.00	$204.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$164.00	$97.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$320.00	$203.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$114.00	$72.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$250.00	$165.44

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0056793

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.

Hospital & Practice Group Affiliations

Boulder Community Health

4743 Arapahoe Ave, Boulder, CO 803031123

Phone: 3034432123

Boulder Community Health

4747 Arapahoe Ave, Boulder, CO 803031131

Phone: 3034157610

Boulder Community Health

1755 48th St, Boulder, CO 803012712

Phone: 3034157450

Boulder Community Health

4747 Arapahoe Ave, Boulder, CO 803031131

Phone: 3034157610

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Laura Harmon , MD

Surgery - Trauma Surgery

NPI 1053607549

Doctor of Medicine (M.D.)

Dr. Charles Jones , MD

Surgery

NPI 1104909381

Doctor of Medicine (M.D.)

Nicola Hempel , ACNP-BC

Nurse Practitioner

NPI 1114286440

ACNPBC

James Dougherty , PA

Physician Assistant

NPI 1275597643

Physician Assistant

Sarah Gardner , RPA-C

Physician Assistant - Surgical

NPI 1285879452

RPAC

Emily Mosman , NP

Nurse Practitioner - Family

NPI 1316451677

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 4743 ARAPAHOE AVE, SUITE 100, BOULDER, CO 803031113 (Tel: 3034432123)

📍

Updated Business Mailing Address November 09, 2017

Registered at 5450 WESTERN AVE, BOULDER, CO 803012709 (Tel: 3034432123)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as KYLE MARTHALLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Surgery (License #DR.0056793 in CO)

✅

NPI Profile Active July 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2016

Registered at 4743 ARAPAHOE AVE, SUITE 100, BOULDER, CO 803031113 (Tel: 3034432123)

📍

Updated Business Mailing Address July 26, 2016

Registered at 5450 WESTERN AVE, BOULDER, CO 803012709 (Tel: 3034154770)

👤

Provider Name / Credentials Updated July 26, 2016

Recorded as KYLE MARTHALLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2016

Surgery (License #DR.0056793 in CO)

🟢

Initial NPI Registration & Enumeration June 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417243254

Entity Type:

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

Enumeration Date: June 21, 2011

Last Update: November 09, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5450 Western Ave

Boulder, CO 803012709

Phone: 3034432123

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

⚠️ Medical Disclaimer

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.