JUSTIN JOEL BOE (M.D.) – Pediatrics Physician, NPI 1205925864
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
51 INTERVENTIONAL RADIOLOGY in OK
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Provider Addresses for JUSTIN JOEL BOE (M.D.)
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
SUITE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
1408, Glenolde Place, Edmond, Oklahoma County, Oklahoma, 73003, United States
EDMOND, OK 730032668
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20120718000755 | I | Diagnostic Radiology | OK | TBD |
| I20130723000071 | I | Diagnostic Radiology | TX | TBD |
| I20230410001824 | I | Diagnostic Radiology | MI | TBD |
| I20231117000903 | I | Diagnostic Radiology | TN | TBD |
| I20240409002032 | I | Diagnostic Radiology | MO | TBD |
| I20240416000477 | I | Diagnostic Radiology | IL | TBD |
| I20240613000772 | I | Diagnostic Radiology | NY | TBD |
| I20251015000851 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 299 | 291 | $0 |
| 70450 | Ct scan head or brain without contrast | 109 | 109 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 93 | 93 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 82 | 80 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 58 | 58 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Interventional Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | WI | |
| - | FL | |
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| Diagnostic Radiology | KY | |
| - | FL | |
| Diagnostic Radiology | TN |
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