JONATHAN PETER BOKSBERGER (D.O.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1487846002

JONATHAN PETER BOKSBERGER (D.O.) is a healthcare provider. based in Coon rapids, Minnesota. specializing in CARDIAC SURGERY, GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 56814 (MN). The NPI Number for JONATHAN PETER BOKSBERGER (D.O.) is 1487846002

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN PETER BOKSBERGER (D.O.)
NPI
1487846002
Phone
(763) 427-9980
Address
4040 Coon Rapids Blvd NW Ste 120
Enumeration Date
16 August 2007
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
3206825225
Graduation Year
2006 (20 years ago)
PAC ID
4688815970
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20130730000037
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
jboksberger207342@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:18State licenses:1Other names

62 CARDIAC SURGERY in MN

Provider Addresses for JONATHAN PETER BOKSBERGER (D.O.)

  • 4040 Coon Rapids Blvd NW Ste 120

    Coon Rapids, MN 554334568

    Phone: (763) 427-9980

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 120, Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55448, United States

    COON RAPIDS, MN 554334568

    Phone: (763) 427-9980

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 640 JACKSON ST

    SAINT PAUL, MN 551012502

    Phone: (651) 254-2987

    Fax: (651) 254-1603

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $568.

Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medtronic, Inc. ($284).

Total Amount

$568

General + Research + Ownership

Payments

13

Total payment records

General Amount

$568

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2013-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1046 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20130730000037ICardiac SurgeryMN2023-07-31

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.

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
33361Replacement of aortic valve through the skin and femoral artery3232$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55433)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

How do payers reference JONATHAN PETER BOKSBERGER (D.O.)?
For JONATHAN PETER BOKSBERGER (D.O.), use NPI 1487846002 as the unique 10-digit identifier.
Would JONATHAN PETER BOKSBERGER (D.O.) appear as active to a payer?
You can treat JONATHAN PETER BOKSBERGER (D.O.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JONATHAN PETER BOKSBERGER (D.O.)'s focus?
For JONATHAN PETER BOKSBERGER (D.O.), the primary taxonomy reads as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JONATHAN PETER BOKSBERGER (D.O.)?
Directory geography for JONATHAN PETER BOKSBERGER (D.O.) centers on Coon Rapids, Minnesota.
Can I trust this NPI listing for JONATHAN PETER BOKSBERGER (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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