Kyle Boltson
NPI 1790363158ActiveIndividual· Family Medicine· Port Saint Lucie, FL
Family Medicine with Conviva Medical Center Management, LLC, practicing in Port Saint Lucie, Florida. In 2024 Medicare paid $15,834 for 62 patients, and Part D covered 87 of their prescriptions, 80% of them generic. Evoke Pharma, Inc. reported $18.50 in payments in 2025, mostly food and beverage. Lists Cleveland Clinic Martin North Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1790363158 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 29, 2021 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS20226 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 187 across 4 procedure codes |
| Paid by Medicare | $15,834 |
Part D prescriptions in 2024
| Prescriptions (claims) | 87 · 143 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $10,796 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Conviva Medical Center Management, LLCMargate, FL · 512 clinicians
Hospital affiliations
- Cleveland Clinic Martin North HospitalStuart, FL
- St Lucie Medical CenterPort Saint Lucie, FL
Other facilities
- Centerwell Home HealthHome health agency · Port Saint Lucie, FL
- Treasure Coast Hospice of St LucieHospice · Fort Pierce, FL
- Ardie R Copas State Veterans Nursing HomeNursing home · Port Saint Lucie, FL
Industry payments (Open Payments)
- 2025$18.50 · 1 payment from 1 company
- 2024$75.77 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Evoke Pharma, Inc. | $18.50 | 1 |
What the 2025 payments were for
- Food and Beverage$18.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 43 family medicine physicians in Port Saint Lucie · All family medicine physicians in Florida