DR. GEOFFREY ANDREW BOISVERT (MD) – Surgery Physician, NPI 1790280360

DR. GEOFFREY ANDREW BOISVERT (MD) is a healthcare provider. based in Wichita, Kansas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 0450020 (KS). The NPI Number for DR. GEOFFREY ANDREW BOISVERT (MD) is 1790280360

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEOFFREY ANDREW BOISVERT (MD)
NPI
1790280360
Phone
(864) 567-8301
Address
424 N RUTAN ST
Enumeration Date
27 March 2018
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
9436407848
Group Practice PAC ID
8224023445
Professional Enrollment ID
I20241112001297
Address ID
KS672083007Wi3243XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

935 GENERAL SURGERY in VA

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Provider Addresses for DR. GEOFFREY ANDREW BOISVERT (MD)

  • 424 N RUTAN ST

    WICHITA, KS 672083217

    Phone: (864) 567-8301

    Type: Mailing

  • 610, Fairfax Avenue, Norfolk, Virginia, 23507, United States

    NORFOLK, VA 235071912

    Phone: (757) 446-8950

    Type: Mailing

  • 3243 E MURDOCK ST STE 404

    WICHITA, KS 672083007

    Phone: (316) 685-6222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($63).

Total Amount

$119

General + Research + Ownership

Payments

2

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241112001297IGeneral SurgeryKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224023445View full group profile
NameSpecialtyState
Nurse PractitionerKS
General SurgeryKS
General SurgeryKS
General Surgery, Critical Care (Intensivists)KS
General SurgeryKS
Physician AssistantKS
Physician AssistantKS
General SurgeryKS
Physician AssistantKS
Physician AssistantMO

Reviews

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Frequently asked questions

Where can patients find DR. GEOFFREY ANDREW BOISVERT (MD)'s NPI?
You can confirm DR. GEOFFREY ANDREW BOISVERT (MD) with NPI 1790280360; it appears in the national provider directory.
Is DR. GEOFFREY ANDREW BOISVERT (MD) currently active in the NPI registry?
CMS-published data lists DR. GEOFFREY ANDREW BOISVERT (MD) as an active registrant.
What field does DR. GEOFFREY ANDREW BOISVERT (MD) work in?
You can think of DR. GEOFFREY ANDREW BOISVERT (MD) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. GEOFFREY ANDREW BOISVERT (MD)?
The snapshot lists Wichita, Kansas for DR. GEOFFREY ANDREW BOISVERT (MD); download NPPES for the complete set.
How can I contact DR. GEOFFREY ANDREW BOISVERT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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