PRO PAIN LLC
NPI 1205339074
Anesthesiology - Pain Medicine in Fenton, MO
About Pro Pain Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRO PAIN LLC (NPI 1205339074) is a healthcare organization registered as a pain medicine in Fenton, Missouri and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Saint Peters and lists Michael Boedefeld, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pro Pain Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Pro Pain LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pro Pain LLC's NPI number?
The NPI number for Pro Pain LLC is 1205339074. It was assigned to this organization in the NPPES registry on March 17, 2018.
Where is Pro Pain LLC located?
Pro Pain LLC is located at 1055 Bowles Ave Ste 202, Fenton, MO 63026. The listed phone number is (636) 326-7821.
What is Pro Pain LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Pro Pain LLC enrolled in Medicare?
Yes. Pro Pain LLC is registered in the Medicare PECOS enrollment system.
When is Pro Pain LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Missouri, Physician - Interventional Pain Management) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pro Pain LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Pro Pain LLC, in Interventional Pain Management, Nurse Practitioner and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pro Pain LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Pro Pain LLC 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.
When was this NPI record last updated?
The NPPES record for Pro Pain LLC was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pro Pain Llc · NPI 1205339074
Pain Medicine organization in Fenton, Missouri. Organization record, active in the CMS NPPES registry since March 17, 2018.
## Identity
- **NPI:** 1205339074 (Entity type: Organization)
- **Enumerated:** March 17, 2018
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** Michael Boedefeld, OWNER
## Practice location
- **Address:** 1055 BOWLES AVE STE 202, Fenton, MO 63026-2308
- **Phone:** (636) 326-7821
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Missouri, Physician - Interventional Pain Management) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (2), Nurse Practitioner (2), Pain Management (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1205339074) · Data from the CMS NPPES public registry.