Active NPI 1962404046 Individual Practitioner Male Practitioner

Dr. Douglas N Boylan , MD

Orthopaedic Surgery • Doylestown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Boylan, MD is a certified Orthopaedic Surgery practicing in Doylestown, PA. With approximately 33 years of clinical experience since graduating from Jenner Medical College in 1993, Dr. Boylan delivers high-quality medical care to the local community at 800 W STATE ST.

Dr. Boylan maintains professional affiliations with Novacare Outpatient Rehabilitation East, Inc., Bucks County Orthopedic Specialists, Pc, Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 W State St
Suite 204

Doylestown, PA 189012250

Telephone 2153483068

Fax 2153487428

Associated Practice Facility / Clinic

🏢 Personal Physician Services, Pc Facility NPI 1558394924

Medicare Profile & Education

Medical School

Jenner Medical College

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Doylestown, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +8.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Doylestown, PA (1345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boylan (33 Years) 33 Yrs

Doylestown Specialty Average (24.5 Years) 24.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	2,536	54	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	283	$225.00	$131.10
73562 X-ray of knee, 3 views	294	217	$87.80	$42.41
20610 Aspiration and/or injection of fluid from large joint	192	146	$213.87	$71.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$337.50	$171.28
73030 X-ray of shoulder, minimum of 2 views	102	86	$50.00	$36.01
99213 Established patient office or other outpatient visit, typically 15 minutes	79	62	$156.25	$92.39
27447 Replacement of knee joint, both sides of knee	53	52	$6875.00	$1323.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	45	$312.50	$184.93
J1030 Injection, methylprednisolone acetate, 40 mg	44	38	$12.50	$6.33
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	36	29	$2250.00	$667.02
29827 Repair of shoulder rotator cuff using an endoscope	23	23	$3687.50	$1116.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	21	$125.00	$54.92
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$3000.00	$174.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$418.75	$226.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$310.00	$132.09

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	339	237	$225.00	$132.57
J1030 Injection, methylprednisolone acetate, 40 mg	279	151	$12.50	$7.70
73562 X-ray of knee, 3 views	260	206	$82.12	$43.33
20610 Aspiration and/or injection of fluid from large joint	194	165	$201.03	$73.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$337.50	$173.30
73030 X-ray of shoulder, minimum of 2 views	96	87	$48.96	$36.37
99213 Established patient office or other outpatient visit, typically 15 minutes	88	77	$156.25	$94.05
27447 Replacement of knee joint, both sides of knee	47	47	$6911.57	$1363.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	43	$314.81	$185.96
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	34	24	$2250.00	$702.61
29827 Repair of shoulder rotator cuff using an endoscope	29	28	$3687.50	$1110.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	26	$125.00	$54.43
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	21	$3000.00	$179.80
99424 Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month.	17	17	$105.00	$83.70
73560 X-ray of knee, 1-2 views	16	16	$50.00	$36.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$418.75	$228.53
29881 Removal of knee cartilage using an endoscope	12	12	$2500.00	$576.45

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	343	252	$200.99	$135.36
J1030 Injection, methylprednisolone acetate, 40 mg	330	169	$11.64	$6.71
73560 X-ray of knee, 1-2 views	240	178	$54.00	$36.81
20610 Aspiration and/or injection of fluid from large joint	229	185	$177.51	$74.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$302.59	$177.31
99213 Established patient office or other outpatient visit, typically 15 minutes	116	90	$143.86	$96.30
73030 X-ray of shoulder, minimum of 2 views	97	87	$59.28	$37.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	53	$280.17	$191.21
73562 X-ray of knee, 3 views	55	40	$63.91	$44.51
27447 Replacement of knee joint, both sides of knee	42	40	$6154.76	$1385.18
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	31	24	$2017.74	$755.62
29827 Repair of shoulder rotator cuff using an endoscope	27	26	$3284.59	$1166.73
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$2657.14	$185.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$111.76	$56.40
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$140.16	$105.65
29881 Removal of knee cartilage using an endoscope	14	14	$2214.29	$589.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$367.21	$234.88
73502 X-ray of hip, 2-3 views	11	11	$81.82	$51.64

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	321	238	$180.00	$138.57
73560 X-ray of knee, 1-2 views	196	139	$60.00	$37.53
J1030 Injection, methylprednisolone acetate, 40 mg	179	131	$10.00	$5.68
20610 Aspiration and/or injection of fluid from large joint	173	139	$169.94	$74.16
73030 X-ray of shoulder, minimum of 2 views	124	106	$70.56	$37.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$270.00	$179.43
73562 X-ray of knee, 3 views	91	67	$64.29	$44.03
99213 Established patient office or other outpatient visit, typically 15 minutes	66	53	$125.00	$97.78
27447 Replacement of knee joint, both sides of knee	36	36	$5500.00	$1404.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$250.00	$193.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$248.00	$142.67
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$2950.00	$1170.75
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	20	17	$1800.00	$752.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$100.00	$56.59
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	16	$2400.00	$189.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$335.00	$236.79
73502 X-ray of hip, 2-3 views	15	13	$75.00	$51.01
73221 Mri scan of arm joint without contrast	13	12	$300.00	$175.42
73630 X-ray of foot, minimum of 3 views	12	11	$65.00	$37.51
73721 Mri scan of leg joint without contrast	12	12	$300.00	$175.05
29881 Removal of knee cartilage using an endoscope	12	12	$2000.00	$596.80

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	269	206	$179.44	$117.07
J1030 Injection, methylprednisolone acetate, 40 mg	189	126	$10.00	$6.06
20610 Aspiration and/or injection of fluid from large joint	177	140	$175.17	$75.45
73560 X-ray of knee, 1-2 views	129	109	$60.00	$36.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$262.14	$177.87
73030 X-ray of shoulder, minimum of 2 views	88	76	$70.00	$36.13
99213 Established patient office or other outpatient visit, typically 15 minutes	82	72	$116.22	$80.89
73562 X-ray of knee, 3 views	64	46	$65.00	$42.73
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	43	30	$1800.00	$756.07
73221 Mri scan of arm joint without contrast	32	31	$300.00	$176.48
27447 Replacement of knee joint, both sides of knee	30	29	$5683.33	$1541.77
73721 Mri scan of leg joint without contrast	27	26	$300.00	$163.53
73610 X-ray of ankle, minimum of 3 views	22	15	$70.00	$38.05
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$2950.00	$1144.96
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$2400.00	$194.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$248.00	$148.28
29881 Removal of knee cartilage using an endoscope	13	13	$2000.00	$604.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$247.69	$157.85
73630 X-ray of foot, minimum of 3 views	11	11	$65.00	$35.71

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	382	288	$168.91	$116.01
J1030 Injection, methylprednisolone acetate, 40 mg	262	180	$10.00	$6.32
20610 Aspiration and/or injection of fluid from large joint	259	196	$140.44	$69.41
73560 X-ray of knee, 1-2 views	182	153	$60.00	$34.90
99213 Established patient office or other outpatient visit, typically 15 minutes	141	110	$95.00	$79.07
73030 X-ray of shoulder, minimum of 2 views	118	103	$69.41	$32.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$200.00	$175.93
73562 X-ray of knee, 3 views	96	70	$64.32	$40.09
73221 Mri scan of arm joint without contrast	57	54	$300.00	$176.67
73721 Mri scan of leg joint without contrast	50	49	$300.00	$178.31
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	34	24	$1711.76	$1232.60
73610 X-ray of ankle, minimum of 3 views	31	21	$70.00	$36.03
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	27	26	$2400.00	$195.64
27447 Replacement of knee joint, both sides of knee	27	27	$5500.00	$1507.49
29827 Repair of shoulder rotator cuff using an endoscope	26	24	$2950.00	$1165.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$220.00	$155.55
73502 X-ray of hip, 2-3 views	17	14	$75.00	$46.36
29881 Removal of knee cartilage using an endoscope	13	13	$2000.00	$600.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$248.00	$145.81

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	487	305	$150.00	$110.48
J1030 Injection, methylprednisolone acetate, 40 mg	286	196	$10.00	$6.66
20610 Aspiration and/or injection of fluid from large joint	281	205	$141.90	$67.85
73560 X-ray of knee, 1-2 views	174	142	$60.00	$32.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$200.00	$169.86
73562 X-ray of knee, 3 views	113	70	$65.00	$37.08
73030 X-ray of shoulder, minimum of 2 views	109	89	$70.00	$30.52
99213 Established patient office or other outpatient visit, typically 15 minutes	89	76	$95.00	$75.14
73221 Mri scan of arm joint without contrast	48	47	$300.00	$175.45
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	37	29	$1200.00	$785.72
73721 Mri scan of leg joint without contrast	33	33	$300.00	$177.27
29827 Repair of shoulder rotator cuff using an endoscope	25	25	$2950.00	$1105.97
73610 X-ray of ankle, minimum of 3 views	24	14	$70.00	$32.82
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	23	22	$56.00	$31.52
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$2400.00	$188.55
27447 Replacement of knee joint, both sides of knee	22	22	$5863.64	$1451.27
73502 X-ray of hip, 2-3 views	17	14	$75.00	$43.03
29881 Removal of knee cartilage using an endoscope	13	13	$2000.00	$577.49
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$90.00	$36.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$248.00	$140.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,856	30	$25.00	$12.35
99213 Established patient office or other outpatient visit, typically 15 minutes	362	237	$95.00	$75.10
20610 Aspiration and/or injection of fluid from large joint	263	185	$144.35	$66.71
J1030 Injection, methylprednisolone acetate, 40 mg	231	160	$10.00	$5.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	112	$150.00	$108.92
73560 X-ray of knee, 1-2 views	125	86	$60.96	$32.11
73562 X-ray of knee, 3 views	113	90	$69.60	$37.29
73030 X-ray of shoulder, minimum of 2 views	78	69	$70.00	$30.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$132.00	$111.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$200.00	$168.87
73221 Mri scan of arm joint without contrast	29	28	$294.48	$172.67
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	25	13	$275.00	$145.82
27447 Replacement of knee joint, both sides of knee	24	23	$5958.33	$1495.86
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$2345.45	$179.94
73721 Mri scan of leg joint without contrast	22	22	$300.00	$175.72
29827 Repair of shoulder rotator cuff using an endoscope	21	21	$2871.43	$1065.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$83.00	$73.34
73630 X-ray of foot, minimum of 3 views	13	12	$65.00	$30.17
72170 X-ray of pelvis, 1-2 views	12	11	$75.00	$33.36
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$138.00	$103.76

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD068120L

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Bucks County Orthopedic Specialists, Pc

2800 Kelly Rd, Warrington, PA 189763630

Phone: 2153487000

Novacare Outpatient Rehabilitation East, Inc.

201 2nd Ave, Collegeville, PA 194263613

Phone: 6104897703

Practice Associates & Co-Workers

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

17 Associated Practitioners

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Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Dr. Charles Burrows , MD

Specialist

NPI 1104805191

Doctor of Medicine (M.D.)

Dr. Ninad Sthalekar , MD

Pain Medicine - Interventional Pain Medicine

NPI 1205888369

Doctor of Medicine (M.D.)

Dr. Thomas Mackell , MD

Specialist

NPI 1285613026

Doctor of Medicine (M.D.)

Jeffrey Kummery , PA

Physician Assistant - Surgical

NPI 1376522391

Physician Assistant

Rebecca Neri , PA-C

Physician Assistant

NPI 1417384827

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 29, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2018

Registered at 800 W STATE ST, SUITE 204, DOYLESTOWN, PA 189012250 (Tel: 2153483068)

📍

Updated Business Mailing Address March 29, 2018

Registered at 800 W STATE ST, SUITE 204, DOYLESTOWN, PA 189012250 (Tel: 2153483068)

👤

Provider Name / Credentials Updated March 29, 2018

Recorded as DOUGLAS BOYLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2018

Orthopaedic Surgery (License #MD068120L in PA)

✅

NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2015

Registered at 800 W STATE ST, SUITE 204, DOYLESTOWN, PA 189012250 (Tel: 2153483068)

📍

Updated Business Mailing Address December 01, 2015

Registered at 800 W STATE ST, SUITE 204, DOYLESTOWN, PA 189012250 (Tel: 2153483068)

👤

Provider Name / Credentials Updated December 01, 2015

Recorded as DOUGLAS BOYLAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Orthopaedic Surgery (License #MD068120L in PA)

🟢

Initial NPI Registration & Enumeration June 02, 2005

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: 1962404046

Entity Type:

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

Enumeration Date: June 02, 2005

Last Update: March 29, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

800 W State St, Suite 204

Doylestown, PA 189012250

Phone: 2153483068

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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