Michael S Boedefeld
PRO PAIN LLC


Address: 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666
Phone: 6364425035

Michael S Boedefeld (NPI# 1043299548, PAC ID# 2567403066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.

Physician Overview

Nation Provider ID (NPI) 1043299548
PAC ID by PECOS 2567403066
Professional Enrollment ID I20050516000089
Full Name Michael S Boedefeld
Organization Legal Name PRO PAIN LLC
Address 4800 Mexico Rd
Suite 101
Saint Peters
MO 63376-1666
Phone Number 6364425035
Gender M
Credential MD
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1999
Primary Specialty INTERVENTIONAL PAIN MANAGEMENT
Secondary Specialties ANESTHESIOLOGY
Group Practice PAC ID 0941563225
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260081 SSM ST CLARE HEALTH CENTER
260005 SSM ST JOSEPH HEALTH CENTER
260191 BARNES-JEWISH ST PETERS HOSPITAL
260200 SSM ST JOSEPH HOSPITAL WEST
260179 ST LUKES HOSPITAL

Other Locations

Address Phone Organization
100 Medical Plz, Suite 107, Lake St Louis, MO 63367-1366 6366255342 SSM MEDICAL GROUP INC
3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 3142389100 SSM MEDICAL GROUP INC
4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 6364425035 PRO PAIN LLC
1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385-3814 6363328455 SSM MEDICAL GROUP INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%

Organization Information

Organization Legal Name PRO PAIN LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Chad C Shelton Interventional Pain Management Pro Pain LLC 1055 Bowles Ave, Suite 202, Fenton, MO 63026-2308

Office Location

Street Address 4800 MEXICO RD
SUITE 101
City SAINT PETERS
State MO
Zip 63376-1666

Physicians in the same location

Name Specialty Organization Address
Rachel A Sappington Nurse Practitioner American Multispecialty Group Inc 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376-1666
Nicholas M Weber Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Victoria M Weber Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Lisa M Patt Chiropractic 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666
Teresa Lozano Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Joseph Michael Schmersahl Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Christopher A Johnston Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Charles Mcdonnell Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Jessica Fuchs Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Gerard Catapang Physical Therapy Babar Enterprises LLC 4800 Mexico Rd, Suite 104, Saint Peters, MO 63376-1666
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Mary K Knight Macheca Nurse Practitioner Physician Groups Lc 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376
Stanley Mathew Endocrinology Physician Groups Lc 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376
Mei Chris Huang Gastroenterology Physician Groups Lc 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376
Ranjani P Ramanathan Endocrinology Physician Groups Lc 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376
Brittany Nicole Lyons Nurse Practitioner Physician Groups Lc 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376
Prajakta Mungikar Internal Medicine Physician Groups Lc 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376
Dianna J Ohlman Nurse Practitioner Physician Groups Lc 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376
Gary J Meltz Internal Medicine Boonslick Medical Group Inc 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376
Robert B Cusworth Gastroenterology Boonslick Medical Group Inc 201 Bjc St Peters Dr, Saint Peters, MO 63376
Penny L Richardson Chiropractic 8471 Mexico Rd, Saint Peters, MO 63376-1103
Find all physicians in zip 63376

Competitor

Search similar physicians

City SAINT PETERS
Zip Code 63376
Specialty INTERVENTIONAL PAIN MANAGEMENT
City + Specialty SAINT PETERS + INTERVENTIONAL PAIN MANAGEMENT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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