DR. BRENNAN J BOETTCHER (D.O.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1124468962
Sports Medicine (Physical Medicine & Rehabilitation) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
243 SPORTS MEDICINE in MN
Provider Addresses for DR. BRENNAN J BOETTCHER (D.O.)
2620 EAGAN WOODS DR STE 100
EAGAN, MN 551211138
Phone: (651) 968-5201
Type: Mailing
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $432.
Total Amount is formed as General ($432) + Research ($0) + Ownership ($0) = $432.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: NeuroLogica Corporation, a subsidiary of Samsung Electronics Co., Ltd. ($250).
Total Amount
$432
General + Research + Ownership
Payments
6
Total payment records
General Amount
$432
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NeuroLogica Corporation, a subsidiary of Samsung Electronics Co., Ltd. | $250 |
| GE HealthCare | $182 |
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: 2014-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20140905001245 | I | Sports Medicine | MN | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,296 | 21 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 132 | 118 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 100 | 69 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 46 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 26 | $0 |
Insurance plans in this area (ZIP 55121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Psychiatry, Addiction Medicine | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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