DR. JOHN WORKS BOARDMAN (MD) – Diagnostic Radiology Physician, NPI 1164484721
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for DR. JOHN WORKS BOARDMAN (MD)
22100 BOTHELL EVERETT HWY
BOTHELL, WA 980218431
Phone: (208) 416-2932
Fax: (855) 673-9190
Type: Mailing
1110 CHAPIN ST
BELOIT, WI 535116472
Phone: (608) 362-2343
Type: Location
Northwest Boulevard, Coeur d'Alene, Kootenai County, Idaho, 83815, United States
SUITE #202
COEUR D ALENE, ID 838142974
Phone: (208) 292-2263
Fax: (208) 292-3130
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: 2024-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130415000269 | I | Diagnostic Radiology | WI | TBD |
| I20241029004218 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 243 | 238 | $0 |
| 71045 | X-ray of chest, 1 view | 237 | 225 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 180 | 178 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 122 | 122 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 96 | 96 | $0 |
Insurance plans in this area (ZIP 98021)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | ID | 71010 | X-ray of chest, 1 view, front | 476 | 452 |
| DIAGNOSTIC RADIOLOGY | ID | 71250 | CT scan chest | 28 | 28 |
| DIAGNOSTIC RADIOLOGY | ID | 73562 | X-ray of knee, 3 views | 41 | 38 |
| DIAGNOSTIC RADIOLOGY | ID | 73630 | X-ray of foot, minimum of 3 views | 16 | 15 |
| DIAGNOSTIC RADIOLOGY | ID | 74177 | CT scan of abdomen and pelvis with contrast | 133 | 131 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology) | VA | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | MI | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| - | VA |
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