DR. MICHAEL SCOTT BOEDEFELD (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1043299548
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
59 INTERVENTIONAL PAIN MANAGEMENT in MO
Provider Addresses for DR. MICHAEL SCOTT BOEDEFELD (MD)
Mexico Road, Saint Peters, Saint Charles County, Missouri, 63376, United States
SAINT PETERS, MO 633761666
Phone: (636) 442-5035
Fax: (636) 442-5036
Type: Mailing
4800 Mexico Rd Ste 101
Saint Peters, MO 633761666
Phone: (636) 442-5035
Type: Location
Bowles Avenue, Fenton, Saint Louis County, Missouri, 63026, United States
FENTON, MO 630262308
Phone: (636) 386-7222
Fax: (636) 386-7810
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $3,480.
Total Amount is formed as General ($3,480) + Research ($0) + Ownership ($0) = $3,480.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($1,084).
Total Amount
$3,480
General + Research + Ownership
Payments
97
Total payment records
General Amount
$3,480
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-16
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 |
|---|---|---|---|---|
| I20050516000089 | I | Interventional Pain Management | MO | 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 |
|---|---|---|---|---|
| J3473 | Injection, hyaluronidase, recombinant, 1 usp unit | 4,506 | 28 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 805 | 23 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 770 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 285 | 175 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 191 | 93 | $0 |
Insurance plans in this area (ZIP 63376)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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