DR. CARL DAVID BOETHEL (M.D.) – Pulmonary Disease Physician, NPI 1417916255

DR. CARL DAVID BOETHEL (M.D.) is a healthcare provider. based in Temple, Texas. specializing in SLEEP MEDICINE, PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. L9629 (TX). The NPI Number for DR. CARL DAVID BOETHEL (M.D.) is 1417916255

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARL DAVID BOETHEL (M.D.)
NPI
1417916255
Phone
(254) 724-2111
Address
2401 S 31ST ST
Enumeration Date
21 March 2006
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
2547242663
Graduation Year
1997 (29 years ago)
PAC ID
6002879749
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20041104000529
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
cboethel11160@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

239 SLEEP MEDICINE in TX

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Provider Addresses for DR. CARL DAVID BOETHEL (M.D.)

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-8800

    Type: Mailing

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-06-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-27

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: 2004-11-04

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
I20041104000529IPulmonary DiseaseTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10254$0
99213Established patient office or other outpatient visit, 20-29 minutes9782$0
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)4848$0
99291Critical care, first 30-74 minutes3726$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3519$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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Provider's Procedures

DR. CARL DAVID BOETHEL (M.D.) performs procedures in SLEEP MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASETX95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube4040

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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Is DR. CARL DAVID BOETHEL (M.D.) listed with a National Provider Identifier?
Yes — DR. CARL DAVID BOETHEL (M.D.) has NPI 1417916255 on file in the registry.
Is DR. CARL DAVID BOETHEL (M.D.) still an active registrant?
DR. CARL DAVID BOETHEL (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. CARL DAVID BOETHEL (M.D.)?
DR. CARL DAVID BOETHEL (M.D.) is associated with Pulmonary Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CARL DAVID BOETHEL (M.D.)?
Travel planning: use Temple, Texas as the reference point for DR. CARL DAVID BOETHEL (M.D.), then confirm.
Does DR. CARL DAVID BOETHEL (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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