LAUREN MARIE BOSHNICK (MD) – Dermatology Physician, NPI 1093219610
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for LAUREN MARIE BOSHNICK (MD)
West 8th Street, Springfield, Jacksonville, Duval County, Florida, 32209, United States
JACKSONVILLE, FL 322096511
Phone:
Type: Mailing
2430 ESPLANADE DR STE B
ALGONQUIN, IL 601025500
Phone: (847) 458-7546
Fax: (224) 509-9788
Type: Mailing
71 DOCTORS VILLAGE DR STE 304
JACKSONVILLE, FL 322592406
Phone: (904) 420-6068
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 297 Open Payments records for all available years, with a total value of $5,290.
Total Amount is formed as General ($5,290) + Research ($0) + Ownership ($0) = $5,290.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,283).
Total Amount
$5,290
General + Research + Ownership
Payments
297
Total payment records
General Amount
$5,290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,283 |
| Lilly USA, LLC | $649 |
| Sun Pharmaceutical Industries Inc. | $390 |
| E.R. Squibb & Sons, L.L.C. | $369 |
| Dermavant Sciences, Inc. | $256 |
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: 2023-06-29
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 |
|---|---|---|---|---|
| I20230629001552 | I | Dermatology | IL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 644 | 148 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 226 | 202 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 154 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 186 | 170 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 185 | 159 | $0 |
Insurance plans in this area (ZIP 32209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| P A T H O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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