DR. PETER BOARDMAN (M.D.) – Neurology Physician, NPI 1376500389
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 NEUROLOGY in MN
Provider Addresses for DR. PETER BOARDMAN (M.D.)
1650 Beam Ave
Suite 200
Maplewood, MN 551091192
Phone: (651) 221-9051
Fax: (651) 223-5220
Type: Location
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 554265000
Phone: (952) 993-3230
Type: Location
1650, Beam Avenue, Maplewood, Ramsey County, Minnesota, 55109, United States
SUITE 200
MAPLEWOOD, MN 551091192
Phone: (651) 221-9051
Fax: (651) 223-5220
Type: Mailing
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: 2006-06-14
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 |
|---|---|---|---|---|
| I20060614000223 | I | Neurology | MN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 88 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 63 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 50 | 44 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 47 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 39 | $0 |
Insurance plans in this area (ZIP 55109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | MN | 95910 | Nerve transmission studies, 7-8 studies | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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