Individual provider Active NPI

Peter Eric Boehm Sr., M.D.

  • Neurological Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1467542449
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD7007 Issued in TN
Practice address
1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174
Phone
(423) 265-2233
Fax
(423) 756-8265
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD7007 TN Primary

Addresses

Primary practice location

1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174

Mailing address

1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174
Phone (423) 265-2233

Other identifiers 1

IdentifierTypeStateIssuer
130010570OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000164 TN Practitioner - Neurosurgery 8022063577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Tennessee, HSC, College of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

979 E 3Rd St
Chattanooga, TN 37403-2136
Phone (423) 265-2233

Hospital & facility affiliations

  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion116
Laminectomy or laminotomy (partial removal of spine bones)56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD7007TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health Neurological Surgery CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Neurological Surgery CurrentSince Mar 1, 2015 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Mar 1, 2015 Accepting new patients
Hamilton Physician Group Inc Past Accepting new patients

Locations

1010 E 3rd St
Ste 202
Chattanooga, TN 37403
Phone (423) 265-2233

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1467542449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E 3RD ST STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032174",
            "telephone_number": "423-265-2233",
            "fax_number": "423-756-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 3RD ST STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032174",
            "telephone_number": "423-265-2233",
            "fax_number": "423-756-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "PETER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD7007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130010570",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.