RONALD B BOEDING (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1104093152

RONALD B BOEDING (MD) is a healthcare provider. based in Maple grove, Minnesota. specializing in PAIN MANAGEMENT, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 55029 (MN). The NPI Number for RONALD B BOEDING (MD) is 1104093152

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
RONALD B BOEDING (MD)
NPI
1104093152
Phone
(763) 201-8191
Address
9645 GROVE CIR N STE 200
Enumeration Date
9 May 2008
Last Update Date
13 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7632018191
Graduation Year
2008 (18 years ago)
PAC ID
5890942270
Group Practice PAC ID
2466606264
Professional Enrollment ID
I20120821000411
Address ID
MN553692684MA9645XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

134 PAIN MANAGEMENT in MN

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Provider Addresses for RONALD B BOEDING (MD)

  • Grove Circle North, The Grove, Maple Grove, Hennepin County, Minnesota, 55311-1566, United States

    MAPLE GROVE, MN 553694466

    Phone: (763) 201-8191

    Fax: (763) 201-8192

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 129 Open Payments records for all available years, with a total value of $30,413.

Total Amount is formed as General ($30,413) + Research ($0) + Ownership ($0) = $30,413.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($15,421).

Total Amount

$30,413

General + Research + Ownership

Payments

129

Total payment records

General Amount

$30,413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2012-08-21

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
I20120821000411IPain ManagementMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes100100$0
99214Established patient office or other outpatient visit, 30-39 minutes8354$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level7665$0
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint5531$0
20610Aspiration and/or injection of fluid from large joint5541$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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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: 2466606264View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Nurse PractitionerMN
Physical Therapist In Private PracticeMN
Anesthesiology, Interventional Pain ManagementMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Pain ManagementMN

Reviews

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Frequently asked questions

What is the standard ID for RONALD B BOEDING (MD) in the U.S.?
In the U.S., RONALD B BOEDING (MD) is identified by NPI 1104093152.
Quick check: is RONALD B BOEDING (MD) active?
Public NPPES data shows RONALD B BOEDING (MD) with an active NPI status right now.
How should patients interpret RONALD B BOEDING (MD)'s specialty?
The extract shows Pain Medicine (Anesthesiology) Physician for RONALD B BOEDING (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to RONALD B BOEDING (MD)?
RONALD B BOEDING (MD) is associated with Maple Grove, Minnesota in the same public data insurers reference.
Who maintains RONALD B BOEDING (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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