MELISA G BOERSMA (MD) – Radiation Oncology Physician, NPI 1104048933

MELISA G BOERSMA (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 2019033211 (MO). The NPI Number for MELISA G BOERSMA (MD) is 1104048933

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MELISA G BOERSMA (MD)
NPI
1104048933
Phone
(913) 574-2520
Address
8700 N GREEN HILLS RD
Enumeration Date
2 May 2007
Last Update Date
9 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135881227
Graduation Year
2002 (24 years ago)
PAC ID
9436244084
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20191116000434
Address ID
KS661600001KA4000XSTXX300
Telehealth
Yes
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

158 RADIATION ONCOLOGY in MO

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Provider Addresses for MELISA G BOERSMA (MD)

  • 8700, North Green Hills Road, Kansas City, Platte County, Missouri, 64154, United States

    KANSAS CITY, MO 641541910

    Phone: (913) 574-2520

    Fax: (913) 574-2520

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$24
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: 2019-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20070927000777IRadiation OncologyOKTBD
I20191116000422IRadiation OncologyMOTBD
I20191116000434IRadiation OncologyKSTBD

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
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy69687$0
77300Calculation of radiation therapy dose24467$0
77427Radiation treatment management, 5 treatment sessions21561$0
77334Design and construction of complex radiation treatment device11544$0
99215Established patient office or other outpatient visit, 40-54 minutes7563$0
View full utilization report →

Insurance plans in this area (ZIP 64154)

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Provider's Procedures

MELISA G BOERSMA (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYOK77300Calculation of radiation therapy dose37165
RADIATION ONCOLOGYOK77427Radiation treatment management, 5 treatments28698

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: 8921911587View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MELISA G BOERSMA (MD)'s NPI?
Yes. MELISA G BOERSMA (MD) is listed with NPI 1104048933 in the public NPI dataset.
Does the file indicate MELISA G BOERSMA (MD) is practicing under active NPI?
Directory data currently reports MELISA G BOERSMA (MD) as active.
What is MELISA G BOERSMA (MD)'s specialty?
The listing groups MELISA G BOERSMA (MD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MELISA G BOERSMA (MD)?
MELISA G BOERSMA (MD)'s geographic hint is Kansas City, Missouri in our summary view.
Why does MELISA G BOERSMA (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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