PAUL A BOEDER MD
NPI 1356335269
Obstetrics & Gynecology in Baldwin, WI

Q: What is Paul Boeder's NPI number?

The NPI number for Paul Boeder is 1356335269. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Paul Boeder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Boeder was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment

1100 BERGSLIEN ST, BALDWIN, WI 54002(715) 684-1111(715) 684-1119 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2024, Aug 25, 2023, Nov 3, 2020 and 5 more (8 updates tracked since 2016).

On this page

About Paul A Boeder Md NPPES

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

PAUL A BOEDER MD (NPI 1356335269) is an individual obstetrics & gynecology provider in Baldwin, Wisconsin, licensed in Wisconsin (31521-20) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1356335269

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NamePAUL A BOEDERCredential: MD

Location Address1100 BERGSLIEN STBaldwin, WI 54002-2600

Mailing Address1100 Bergslien StBaldwin, WI 54002-2600 · (715) 684-1111 · Fax (715) 684-1119

Phone(715) 684-1111

Fax(715) 684-1119

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 7, 2005

Last NPPES UpdateJanuary 4, 20248 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1356335269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WI · 31521-20

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1100 BERGSLIEN ST, Baldwin, WI 54002

Open in Google Maps ↗

Other Identifiers 1

Medicaid1356335269WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Paul A Boeder 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 ID8921910050

PECOS Enrollment IDI20071203000061

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.

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521338

Location1515 Park AveColumbus, WI 53925 · Columbia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARAH MICHELLE ANDERSON N.P.

Nurse Practitioner (Family)