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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PETER J BOOSALIS MD
NPI 1174577316
Anesthesiology in Stillwater, MN

Active since May 20, 2006PECOS Enrolled
96.56/100
CMS Quality Rating
927 CHURCHILL ST W, STILLWATER, MN 55082(651) 430-4585 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter J Boosalis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER J BOOSALIS MD (NPI 1174577316) is an individual anesthesiology provider in Stillwater, Minnesota, licensed in Minnesota (41145) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and is a graduate of University Of Minnesota Medical School (1991).

NPPES Registry Identity

NPI1174577316
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NamePETER J BOOSALISCredential: MD
Location Address927 CHURCHILL ST WStillwater, MN 55082-6605
Mailing Address14700 28th Ave N, Suite 20Plymouth, MN 55447-4835 · (763) 559-3779 · Fax (763) 450-3986
Phone(651) 430-4585
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1991
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1174577316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MN · 41145
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
927 CHURCHILL ST W, Stillwater, MN 55082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter J Boosalis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264499151
PECOS Enrollment IDI20231109001641
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANIKA SCHULTE PHILLIPS RN, CNM
Advanced Practice Midwife
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 439-1234
KRISTIN ANN MILLER RDN
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4602
MRS. MARY ELIZABETH MILLER
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
SARAH LYNN DAHLKE
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
MARK D WOJTOWICZ MD
Anesthesiology
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4585
KATHLEEN ANN MEAD RDN
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
ST. CROIX RADIOLOGY CONSULTANTS, LLC
Clinic/Center (Radiology)
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4617
STEVEN D JOHNSON MD
Radiology (Diagnostic Radiology)
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Boosalis's NPI number?

The NPI number for Peter Boosalis is 1174577316. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Peter Boosalis located?

Peter Boosalis practices at 927 Churchill St W, Stillwater, MN 55082. The listed phone number is (651) 430-4585.

What is Peter Boosalis's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Peter Boosalis enrolled in Medicare?

Yes. Peter Boosalis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Boosalis accept?

Health plans from Medica list Peter Boosalis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Boosalis affiliated with any hospitals?

According to CMS data, Peter Boosalis is affiliated with Piedmont Cartersville Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Boosalis was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.