DR. DARRELL G BOYCHUK (DDS, MS) – Orofacial Pain Dentistry, NPI 1962698340

DR. DARRELL G BOYCHUK (DDS, MS) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ORAL SURGERY. They hold the professional credentials DDS, MS. They hold a License No. 58751 (CA). The NPI Number for DR. DARRELL G BOYCHUK (DDS, MS) is 1962698340

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. DARRELL G BOYCHUK (DDS, MS)
NPI
1962698340
Phone
Not provided
Address
8170 33RD AVE S # MS 21110Q
Enumeration Date
19 September 2007
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALBERTA FACULTY OF DENTISTRY
Secondary Phone
6515239950
Graduation Year
1982 (44 years ago)
PAC ID
8628168531
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20140422001578
Address ID
MN550428624LA8515XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

81 ORAL SURGERY in MN

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Provider Addresses for DR. DARRELL G BOYCHUK (DDS, MS)

  • 8170 33RD AVE S # MS 21110Q

    MINNEAPOLIS, MN 554254516

    Phone:

    Fax: (651) 641-6220

    Type: Mailing

  • Healthpartners Como, 2500, Como Avenue, Saint Paul, Ramsey County, Minnesota, 55108, United States

    SAINT PAUL, MN 551081460

    Phone: (651) 641-6249

    Fax: (651) 641-6220

    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: 2014-04-22

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
I20140422001578IOral SurgeryMNTBD

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 minutes1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
70355X-ray of lower jaws, upper jaws and teeth1212$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

Is DR. DARRELL G BOYCHUK (DDS, MS) listed with a National Provider Identifier?
Yes — DR. DARRELL G BOYCHUK (DDS, MS) has NPI 1962698340 on file in the registry.
Is there an active status for DR. DARRELL G BOYCHUK (DDS, MS)?
For scheduling context, DR. DARRELL G BOYCHUK (DDS, MS) is shown as active in the registry.
What area of care is associated with DR. DARRELL G BOYCHUK (DDS, MS)?
DR. DARRELL G BOYCHUK (DDS, MS)'s record emphasizes Orofacial Pain Dentistry. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. DARRELL G BOYCHUK (DDS, MS) registered?
Use Minneapolis, Minnesota as the headline location for DR. DARRELL G BOYCHUK (DDS, MS) here.
When was this NPI issued?
Enumeration for DR. DARRELL G BOYCHUK (DDS, MS) is noted as September 19, 2007 where the registry provides it.

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