NPIMap

Boone Physician Services LLC

A Medicare group practice based in Columbia, MO: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6507090644), with 321 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507090644The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
KS, KY, ME, MO, MT, NC, NH, OK, OR, TN, TX, WI
Enrollments
16
Group size
243 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
62In 36 places

Enrollment records 16

Enrollment IDStateProvider typeNPI
O20131003000535 MO Part B Supplier - Clinic/Group Practice 1760893259
O20250304001994 KS Part B Supplier - Clinic/Group Practice 1760893259
O20250108001923 WI Part B Supplier - Clinic/Group Practice 1760893259
O20250102000526 MO Part A Provider - Rural Health Clinic 1376380659
O20250103000333 MO Part A Provider - Rural Health Clinic 1558108837
O20241231001271 MO Part A Provider - Rural Health Clinic 1538906813
O20240205001129 KY Part B Supplier - Clinic/Group Practice 1760893259
O20240219002420 ME Part B Supplier - Clinic/Group Practice 1760893259
O20240212003473 OK Part B Supplier - Clinic/Group Practice 1760893259
O20240305001830 NC Part B Supplier - Clinic/Group Practice 1760893259
O20240304001243 TX Part B Supplier - Clinic/Group Practice 1760893259
O20240301002488 MT Part B Supplier - Clinic/Group Practice 1760893259
O20240228003863 TN Part B Supplier - Clinic/Group Practice 1760893259
O20240320000164 OR Part B Supplier - Clinic/Group Practice 1760893259
O20240131001318 NH Part B Supplier - Clinic/Group Practice 1760893259
O20211004002355 MO Part A Provider - Rural Health Clinic 1619648532

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 321

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (320) or whom Care Compare lists as members (243).

Sources for this page