BEN BOECKLEN – Physical Therapist, NPI 1669027629

BEN BOECKLEN is a healthcare provider. based in Kansas city, Missouri. specializing in Physical Therapist. They hold a License No. 2019029985 (MO). The NPI Number for BEN BOECKLEN is 1669027629

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BEN BOECKLEN
NPI
1669027629
Phone
(816) 741-4525
Address
5775 NW 64th Ter Ste 101
Enumeration Date
7 August 2019
Last Update Date
7 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162200223
Graduation Year
2016 (10 years ago)
PAC ID
8224366240
Group Practice PAC ID
6901885979
Professional Enrollment ID
I20190828002271
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for BEN BOECKLEN

  • 5775 NW 64th Ter Ste 101

    Kansas City, MO 641513945

    Phone: (816) 741-4525

    Type: Location

  • Northwest R.D. Mize Road, Blue Springs, Jackson County, Missouri, 64015, United States

    BLUE SPRINGS, MO 640142540

    Phone: (816) 220-0223

    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: 2019-08-28

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
I20190828002271IPhysical Therapist In Private PracticeMOTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3215$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3016$0
97530Therapy procedure using functional activities2412$0
View full utilization report →

Insurance plans in this area (ZIP 64151)

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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: 6901885979View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeMO
-MO

Reviews

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Frequently asked questions

Is BEN BOECKLEN listed with a National Provider Identifier?
Yes — BEN BOECKLEN has NPI 1669027629 on file in the registry.
Would BEN BOECKLEN appear as active to a payer?
You can treat BEN BOECKLEN as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BEN BOECKLEN?
BEN BOECKLEN is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is BEN BOECKLEN associated with Kansas City?
Public fields place BEN BOECKLEN around Kansas City, Missouri. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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