IVEN W BOEHM (PA-C) – Physician Assistant, NPI 1790732097
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for IVEN W BOEHM (PA-C)
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384693
Phone: (217) 238-6055
Type: Mailing
1303 W Evergreen Ave Ste 100
Effingham, IL 624011638
Phone: (217) 540-6123
Fax: (217) 347-4969
Type: Location
1201 Wooddell Way Ste B
Mattoon, IL 619381014
Phone: (217) 238-3000
Fax: (217) 238-3008
Type: Location
PO BOX 372
MATTOON, IL 619380372
Phone:
Type: Mailing
1100 Tuscola Blvd
Tuscola, IL 619532065
Phone: (217) 253-4764
Fax: (217) 253-4886
Type: Location
2040 Lincoln Ave Ste 100
Charleston, IL 619203197
Phone: (217) 345-2030
Fax: (217) 345-2045
Type: Location
Oak Avenue, Neoga, Cumberland County, Illinois, 62447, United States
NEOGA, IL 624471502
Phone: (217) 895-2222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $2,046.
Total Amount is formed as General ($2,046) + Research ($0) + Ownership ($0) = $2,046.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($463).
Total Amount
$2,046
General + Research + Ownership
Payments
116
Total payment records
General Amount
$2,046
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $463 |
| GlaxoSmithKline, LLC. | $372 |
| Lilly USA, LLC | $234 |
| Novo Nordisk Inc | $187 |
| Amgen Inc. | $107 |
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: 2006-08-31
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 |
|---|---|---|---|---|
| I20060831000360 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 683 | 292 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 170 | 130 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 50 | 23 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| G0008 | Administration of influenza virus vaccine | 28 | 27 | $0 |
Insurance plans in this area (ZIP 61938)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL |
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