BOONE COUNTY COMPREHENSIVE SPECIALTY CARE — NPI 1316982200 (Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) in BOONE, IA)

CMS-1500 Box 24J / 33a • NPI

1316982200

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208600000X (CMS 02)

Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)

Box 32 Service Location & ZIP+4

1015 UNION ST, SUITE 120, BOONE, IA, 50036-4821

✓ 9-Digit EDI 837 ZIP+4 (50036-4821)

Practice Phone & Referral Fax

(515) 433-8700

Fax: (515) 432-6962

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316982200 (BOONE COUNTY COMPREHENSIVE SPECIALTY CARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316982200` (NPI-2 Organization / Facility)
Provider / Legal Name	BOONE COUNTY COMPREHENSIVE SPECIALTY CARE
Plain-English Specialty	Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: `208600000X` (Surgery)
Certifying / Licensing Body	American Board of Orthopaedic Surgery (ABOS)
Practice Location Address	1015 UNION ST, SUITE 120, BOONE, IA, 50036-4821
Practice Telephone / Fax	Tel: (515) 433-8700 \| Fax: (515) 432-6962
Administrative Mailing Address	1015 UNION ST, BOONE, IA, 50036
Enumeration & Last Sync	Enumerated: 2006-06-17 \| CMS Record Updated: 2026-07-01
Authorized Official	MIKAELA KIENITZ (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1015 UNION ST, SUITE 120, BOONE, IA, 50036-4821

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Plain-English Taxonomy & CMS Crosswalk (208600000X)

What Does Taxonomy Code 208600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BOONE COUNTY COMPREHENSIVE SPECIALTY CARE)

Typical CPT / Diagnostic Procedures:

Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
Fracture Reduction, Internal Fixation & Carpal Tunnel Release

Common Therapeutic Classes:

NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
Intra-Articular Triamcinolone Acetonide & Methylprednisolone
Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2086S0105X` — Surgery, Surgery of the Hand Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand	State: N/A \| License: `Verified` \| Primary: Secondary
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`213E00000X` — Podiatrist Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist	State: IA \| License: `000872` \| Primary: Secondary
`213ES0103X` — Podiatrist, Foot & Ankle Surgery Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery	State: N/A \| License: `Verified` \| Primary: Secondary
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: IA \| License: `02837` \| Primary: Yes (Primary)

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BOONE COUNTY COMPREHENSIVE SPECIALTY CARE (NPI #1316982200)