MATTHEW BOEHME (D.O.) – Internal Medicine Physician, NPI 1215460183

MATTHEW BOEHME (D.O.) is a healthcare provider. based in Tyler, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. S5562 (TX). The NPI Number for MATTHEW BOEHME (D.O.) is 1215460183

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW BOEHME (D.O.)
NPI
1215460183
Phone
(035) 963-5009
Address
1000 E 5TH ST STE 400
Enumeration Date
7 April 2017
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035359041
Graduation Year
2017 (9 years ago)
PAC ID
4981026481
Group Practice PAC ID
4587812888
Professional Enrollment ID
I20200629002115
Address ID
TX757022809TY2231XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for MATTHEW BOEHME (D.O.)

  • East 5th Street, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757013362

    Phone: (035) 963-5009

    Fax: (903) 596-3536

    Type: Location

  • 2231 W GENTRY PKWY

    TYLER, TX 757022809

    Phone: (903) 535-9041

    Fax: (903) 787-5098

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: ABBVIE INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$13
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: 2020-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200629002115IInternal MedicineTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75701)

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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: 4587812888View full group profile
NameSpecialtyState
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YGA
-TX
Family PracticeTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Family Practice, General PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is MATTHEW BOEHME (D.O.)'s NPI number?
MATTHEW BOEHME (D.O.)'s NPI is 1215460183 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MATTHEW BOEHME (D.O.)?
For scheduling context, MATTHEW BOEHME (D.O.) is shown as active in the registry.
What expertise is attributed to MATTHEW BOEHME (D.O.)?
MATTHEW BOEHME (D.O.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MATTHEW BOEHME (D.O.)?
Directory geography for MATTHEW BOEHME (D.O.) centers on Tyler, Texas.
When was this NPI issued?
Enumeration for MATTHEW BOEHME (D.O.) is noted as April 7, 2017 where the registry provides it.

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