PHYSICIANS AMBULATORY SURGERY CENTER LLC – Pain Medicine (Anesthesiology) Physician, NPI 1285358481

PHYSICIANS AMBULATORY SURGERY CENTER LLC is a healthcare provider. based in Saint peters, Missouri. specializing in Pain Medicine (Anesthesiology) Physician. The NPI Number for PHYSICIANS AMBULATORY SURGERY CENTER LLC is 1285358481

Main info

Organization
Name
PHYSICIANS AMBULATORY SURGERY CENTER LLC
NPI
1285358481
Phone
(636) 706-0560
Address
114 PIPER HILL DR STE 101
Authorized Official
MICHAEL BOEDEFELD OWNER/MEDICAL DIRECTOR MD
Enumeration Date
30 September 2022
Last Update Date
11 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for PHYSICIANS AMBULATORY SURGERY CENTER LLC

  • 114 PIPER HILL DR STE 101

    SAINT PETERS, MO 633761661

    Phone: (636) 706-0560

    Fax: (636) 244-1735

    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)

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: 2023-07-07

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
O20230707002590OAmbulatory Surgical CenterMOTBD

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

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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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Reviews

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Frequently asked questions

What unique ID ties claims to PHYSICIANS AMBULATORY SURGERY CENTER LLC?
NPI 1285358481 is assigned to PHYSICIANS AMBULATORY SURGERY CENTER LLC under the national enumeration system.
Does this profile mean PHYSICIANS AMBULATORY SURGERY CENTER LLC is currently active?
Yes — PHYSICIANS AMBULATORY SURGERY CENTER LLC appears active in the national provider directory.
What field does PHYSICIANS AMBULATORY SURGERY CENTER LLC work in?
You can think of PHYSICIANS AMBULATORY SURGERY CENTER LLC as practicing within Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PHYSICIANS AMBULATORY SURGERY CENTER LLC?
The page summarizes Saint Peters, Missouri for PHYSICIANS AMBULATORY SURGERY CENTER LLC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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