DR. CHRISTIAN BOEKWEG (DO) – Student in an Organized Health Care Education/Training Program, NPI 1144806894
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for DR. CHRISTIAN BOEKWEG (DO)
1460 N MAIN ST UNIT 1B
SPANISH FORK, UT 846601016
Phone: (385) 518-0403
Type: Mailing
250 W 300 N
ROOSEVELT, UT 840662336
Phone: (435) 722-4691
Type: Location
2020A DELAWARE AVE
JOPLIN, MO 648041141
Phone: (801) 404-3097
Type: Mailing
1460 N Main St Unit 1B
Spanish Fork, UT 846601016
Phone: (385) 518-0403
Fax: (385) 518-0466
Type: Location
2900 E 29TH ST STE 100
BRYAN, TX 778022623
Phone: (979) 436-0485
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: PFIZER INC. ($31).
Total Amount
$116
General + Research + Ownership
Payments
7
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
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: 2025-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20230206002067 | I | Family Practice | TX | TBD |
| I20240717003522 | I | Family Practice | UT | TBD |
| I20250630004049 | I | Family Practice | AZ | TBD |
| I20250724002878 | I | Family Practice | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AK | |
| Pediatric Medicine | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| P A T H O L O G Y | IL | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Physician Assistant | UT | |
| Radiation Oncology, Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | CA |
Reviews
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