✓ Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) (208600000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

KYLE V CONWAY, MD (NPI #1720425028)

Surgery • WPAFB, OH • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1720425028
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
4881 SUGAR MAPLE DR, WPAFB, OH, 45433-5529
✓ 9-Digit EDI 837 ZIP+4 (45433-5529)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720425028 (KYLE V CONWAY, MD) 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

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1720425028)

Medicare Beneficiaries
89
Total Billed Services
248
Distinct CPT/HCPCS Codes
56
Medicare Allowed Total
$42,020.43

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes53

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
3939

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1720425028 (NPI-1 Individual Practitioner)
Provider / Legal NameKYLE V CONWAY, MD
Plain-English SpecialtyBoard-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
NUCC Code: 208600000X (Surgery)
Certifying / Licensing BodyAmerican Board of Orthopaedic Surgery (ABOS)
Practice Location Address4881 SUGAR MAPLE DR, WPAFB, OH, 45433-5529
Practice Telephone / FaxTel: (937) 257-9922
Administrative Mailing Address4881 SUGAR MAPLE DR, WPAFB, OH, 45433-5529
Enumeration & Last SyncEnumerated: 2013-05-28 | CMS Record Updated: 2020-10-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4881 SUGAR MAPLE DR, WPAFB, OH, 45433-5529

🗺️ Open in Google Maps 🏥 More Providers in WPAFB

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 (KYLE V CONWAY, MD)

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 DescriptionState License & Primary Status
208600000X — Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: SC | License: LL35689 | Primary: Secondary
208600000X — Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: OH | License: 35.135127 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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