MARK T BOSCHERT (M.D.) – Plastic Surgery Physician, NPI 1558389866

MARK T BOSCHERT (M.D.) is a healthcare provider. based in Saint peters, Missouri. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 103922 (MO). The NPI Number for MARK T BOSCHERT (M.D.) is 1558389866

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK T BOSCHERT (M.D.)
NPI
1558389866
Phone
(636) 896-0600
Address
145 SAINT PETERS CENTRE BLVD
Enumeration Date
17 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6368960600
Graduation Year
1994 (32 years ago)
PAC ID
6709831118
Group Practice PAC ID
8921045212
Professional Enrollment ID
I20101104001523
Address ID
MO633765103SA145XXBLVD500
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

163 PLASTIC AND RECONSTRUCTIVE SURGERY in MO

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Provider Addresses for MARK T BOSCHERT (M.D.)

  • Renaissance Plastic Surgery, 145, Saint Peters Centre Boulevard, Saint Peters, Saint Charles County, Missouri, 63376, United States

    SAINT PETERS, MO 633765103

    Phone: (636) 896-0600

    Fax: (636) 723-2000

    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 91 Open Payments records for all available years, with a total value of $6,017.

Total Amount is formed as General ($6,017) + Research ($0) + Ownership ($0) = $6,017.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($3,546).

Total Amount

$6,017

General + Research + Ownership

Payments

91

Total payment records

General Amount

$6,017

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-11-04

PECOS data refreshed: 2026-06-15

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
I20101104001523IPlastic And Reconstructive SurgeryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63376)

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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: 8921045212View full group profile
NameSpecialtyState
-MO
Plastic And Reconstructive SurgeryMO

Reviews

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Frequently asked questions

What is the registry number for MARK T BOSCHERT (M.D.)?
The registry entry for MARK T BOSCHERT (M.D.) shows NPI 1558389866.
Should I treat MARK T BOSCHERT (M.D.) as an active provider?
Patients and plans typically see MARK T BOSCHERT (M.D.) as active in the national extract.
How should patients interpret MARK T BOSCHERT (M.D.)'s specialty?
The extract shows Plastic Surgery Physician for MARK T BOSCHERT (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to MARK T BOSCHERT (M.D.)?
MARK T BOSCHERT (M.D.) shows a connection to Saint Peters, Missouri in registry-derived data.
Who maintains MARK T BOSCHERT (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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