Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kyle Boltson

Individual provider Family Medicine Physician · NPI 1790363158

Kyle Boltson is registered under Family Practice in Port Saint Lucie, Florida. Qualified in 2023, 3 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

1700 SE Hillmoor Dr Ste 500
Port Saint Lucie, FL 34952-7536
Phone: (772) 873-1770
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS20226 (FL)

Record details

NPI number1790363158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients62
Services billed 187 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $19 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • St Lucie Medical Center Hospital · Port Saint Lucie, FL
  • Cleveland Clinic Martin North Hospital Hospital · Stuart, FL
  • Centerwell Home Health Home health agency · Port Saint Lucie, FL
  • Ardie R Copas State Veterans Nursing Home Nursing home · Port Saint Lucie, FL

Colleagues at Conviva Medical Center Management, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 562 clinicians in the practice; 12 are shown here.

Other providers in Port Saint Lucie