JAN H BOON (MD) – Anesthesiology Physician, NPI 1023128105

JAN H BOON (MD) is a healthcare provider. based in St louis, Missouri. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 105418 (MO). The NPI Number for JAN H BOON (MD) is 1023128105

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JAN H BOON (MD)
NPI
1023128105
Phone
(314) 453-0600
Address
940 WEST PORT PLAZA
Enumeration Date
30 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142056917
Graduation Year
1990 (36 years ago)
PAC ID
8224082169
Group Practice PAC ID
5799698551
Professional Enrollment ID
I20050303000730
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JAN H BOON (MD)

  • Sheraton Westport Plaza Hotel St. Louis, 900, West Port Plaza Drive, St. Louis, Saint Louis County, Missouri, 63146, United States

    STE 270

    ST LOUIS, MO 63146

    Phone: (314) 453-0600

    Fax: (314) 453-0083

    Type: Mailing

  • St. Luke's Hospital, 232, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 63017

    Phone: (314) 205-6917

    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: 2005-03-03

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
I20050303000730IAnesthesiologyMOTBD

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
76942Ultrasonic guidance for needle placement172166$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes169165$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch16783$0
64999Other procedure on nervous system109107$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)9692$0
View full utilization report →

Insurance plans in this area (ZIP 63146)

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Provider's Procedures

JAN H BOON (MD) performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMO76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3131

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: 5799698551View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMI
-MO
Certified Registered Nurse Anesthetist (Crna)IL
-MO
-MO

Reviews

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Frequently asked questions

Does JAN H BOON (MD) have a public NPI I can cite?
Public records show JAN H BOON (MD) under NPI 1023128105.
Quick check: is JAN H BOON (MD) active?
Public NPPES data shows JAN H BOON (MD) with an active NPI status right now.
What type of care does JAN H BOON (MD) provide?
JAN H BOON (MD)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JAN H BOON (MD)?
JAN H BOON (MD) shows a connection to St Louis, Missouri in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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