DR. KENNETH JEROME BOOMGAARD (M.D.) – Family Medicine Physician, NPI 1427047034
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for DR. KENNETH JEROME BOOMGAARD (M.D.)
21950 SHELTERING SPRUCE LOOP
CHUGIAK, AK 995675402
Phone: (907) 688-7826
Fax: (907) 580-2308
Type: Mailing
3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER
5955 ZEAMER AVE
ELMENDORF AFB, AK 995063700
Phone: (907) 580-2956
Fax: (907) 580-2308
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,650.
Total Amount is formed as General ($1,650) + Research ($0) + Ownership ($0) = $1,650.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($462).
Total Amount
$1,650
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $462 |
| Collegium Pharmaceutical, Inc. | $249 |
| Medtronic, Inc. | $164 |
| Abbott Laboratories | $149 |
| Averitas Pharma Inc. | $62 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110307000506 | I | Family Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,193 | 288 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,009 | 284 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 847 | 272 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 828 | 102 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 94 | 67 | $0 |
Insurance plans in this area (ZIP 99567)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AK | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 18 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Anesthesiology, Pain Management | AK | |
| Physician Assistant | CA | |
| Anesthesiology, Pain Management | PA | |
| Physical Medicine And Rehabilitation | AK | |
| - | AK | |
| - | AK | |
| - | AK | |
| Anesthesiology, Pain Management, Pain Management | WA |
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