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Dr. Boden James Port , DO

General Practice β€’ Eglin Afb, FL

Active NPI 1003519919 Individual Practitioner Male Practitioner
Practice location in NPPES

307 Boatner Rd Ste 114
Eglin Afb, FL 325421302

Call 8508838600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838600
Organization at the Same NPPES Address or Phone
Individual Provider Facility NPI 1376890293

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

51 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$138 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Port has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Port as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eglin Afb and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.

Too few clinicians listed under General Practice in Eglin Afb have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.

Too few clinicians listed under General Practice in Eglin Afb have Medicare Part D data for 2024 to compare.

18 active clinicians are listed under General Practice with a practice address in Eglin Afb, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eglin Afb

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 26 960 $80.04 β€”
Famotidine Famotidine 19 570 $57.83 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-08
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES IN 02008108A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - GENERAL SURGERY

Medicare Enrollment ID

I20230821003701

Enrollment State Jurisdiction

NV

PECOS Control ID

4486016508

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Amber Allen , DO, MS

Obstetrics & Gynecology

NPI 1821445396

Doctor of Osteopathic Medicine (D.O.), Master of Science

Brandy Arrol , FNP

Nurse Practitioner - Family

NPI 1073804472

Family Nurse Practitioner

Dr. Rhoda Lyn Aure , MD

Internal Medicine - Nephrology

NPI 1851554166

Doctor of Medicine (M.D.)

Dr. Brady Bahr , MD

Radiology - Diagnostic Radiology

NPI 1306138128

Doctor of Medicine (M.D.)

Dr. Benjamin Bailes , MD

Internal Medicine

NPI 1801423173

Doctor of Medicine (M.D.)

Paul Baker

Emergency Medicine

NPI 1861132805

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 08, 2026

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

πŸ“
Updated Business Mailing Address July 08, 2026

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302

πŸ“
Updated Practice Location October 24, 2024

Registered at 6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 820052945 (Tel: 3077733039)

πŸ“
Updated Business Mailing Address October 24, 2024

Registered at 6900 ALDEN DR BLDG 160, FE WARREN AFB, WY 820052945 (Tel: 3077733039)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2024

General Practice (license number reported to NPPES: IN 02008108A)

βœ…
NPI Profile Active March 22, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 22, 2023

Registered at 1800 W CHARLESTON BLVD, LAS VEGAS, NV 891022329 (Tel: 7023832000)

πŸ“
Business Mailing Address (Initial Record) March 22, 2023

Registered at 725 SETTLERS POND WAY, KNOXVILLE, TN 379236398 (Tel: 2082069834)

πŸ‘€
Provider Name / Credentials (Initial Record) March 22, 2023

Recorded as BODEN PORT, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 22, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003519919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2023
Last Update: July 08, 2026
Sole Proprietor: No

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Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.