DR. MICHAEL H. DE BOER (M.D.) – Emergency Medicine Physician, NPI 1780624809

DR. MICHAEL H. DE BOER (M.D.) is a healthcare provider. based in Knoxville, Tennessee. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 46604 (KY). The NPI Number for DR. MICHAEL H. DE BOER (M.D.) is 1780624809

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL H. DE BOER (M.D.)
NPI
1780624809
Phone
(865) 693-1000
Address
1431 CENTERPOINT BLVD
Enumeration Date
7 June 2006
Last Update Date
10 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2706514100
Graduation Year
1988 (38 years ago)
PAC ID
1052362738
Group Practice PAC ID
2466364997
Professional Enrollment ID
I20140115000908
Address ID
KY421413454GL1301XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for DR. MICHAEL H. DE BOER (M.D.)

  • 1431 CENTERPOINT BLVD

    SUITE 100

    KNOXVILLE, TN 379321984

    Phone: (865) 693-1000

    Type: Mailing

  • 310 N L Rogers Wells Blvd

    Glasgow, KY 421411300

    Phone: (270) 659-5555

    Type: Location

  • Park West Blvd WB @ Sherrill Blvd, 9352, Park West Boulevard, Knoxville, Knox County, Tennessee, 37923, United States

    KNOXVILLE, TN 379234325

    Phone: (865) 373-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($48).

Total Amount

$145

General + Research + Ownership

Payments

8

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050210000237IEmergency MedicineTNTBD
I20140115000908IFamily PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making455427$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only312283$0
99284Emergency department visit with moderate level of medical decision making5957$0
99291Critical care, first 30-74 minutes4746$0
View full utilization report →

Insurance plans in this area (ZIP 37932)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466364997View full group profile
NameSpecialtyState
Nurse PractitionerTN
Emergency MedicineTN
Emergency MedicineWV
-AR
Emergency MedicineMA
-TN
-KY
Emergency Medicine, Internal Medicine, Emergency MedicineFL
Emergency MedicineTX
Family Practice, Emergency MedicineAR

Reviews

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Frequently asked questions

What number should I use to identify DR. MICHAEL H. DE BOER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1780624809 for DR. MICHAEL H. DE BOER (M.D.).
Is DR. MICHAEL H. DE BOER (M.D.)'s NPI status active today?
Active status means DR. MICHAEL H. DE BOER (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. MICHAEL H. DE BOER (M.D.) provide?
DR. MICHAEL H. DE BOER (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL H. DE BOER (M.D.) tied to Knoxville, Tennessee?
If you are local to Knoxville, Tennessee, DR. MICHAEL H. DE BOER (M.D.) may be relevant to your search.
Can I export DR. MICHAEL H. DE BOER (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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