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

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: October 18, 2026.

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

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 maintains 2 additional practice locations.

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 ↗

Secondary Practice Locations 2

Location 11313 Fish Hatchery RdMadison, WI 53715-1911 · Phone (608) 252-8000 · Fax (608) 283-7354
Location 21687 E Division StRiver Falls, WI 54022-1571 · Phone (715) 307-6432 · Fax (715) 307-6405

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, Dean Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Paul Boeder reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baldwin Area Medical Center, Inc.
Same address
Rural Health
1100 BERGSLIEN ST
Baldwin, WI 54002
  • Reassigned Medicare billing, Wisconsin enrollment
  • 211 clinicians in this Medicare group
NPI 1336228865 (715) 684-1111
Allina Health System
12 mi
Clinic/Center
1687 E DIVISION ST
River Falls, WI 54022
  • Reassigned Medicare billing, Wisconsin enrollment
  • 318 clinicians in this Medicare group
NPI 1619559663 (715) 307-6405
Prairie Ridge Health Inc.
197 mi
Family Medicine
155 SOUTH MALLARD DRIVE
Sun Prairie, WI 53590
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1154403657 (Wisconsin)
  • 115 clinicians in this Medicare group
NPI 1699534545 (920) 623-2200
Ascension Medical Group-Southeast Wisconsin Inc
256 mi
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1609881077 (414) 465-3000
Obhg Wisconsin, S.C.
875 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Obhg Wisconsin Sc
  • 58 clinicians in this Medicare group
NPI 1699273862 (864) 908-3530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

WENDY ANN NUNES M.D.
Urology
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
SARAH MICHELLE ANDERSON N.P.
Nurse Practitioner (Family)
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
ABBEY ARNDT NP
Nurse Practitioner (Family)
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
DR. SELENA SCHMIT RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (651) 492-0449
ELIZABETH LACY RAU DPT
Physical Therapist
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
CLAUDIO F. NUNES M.D.
Surgery
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
CHRISTINE L VEENENDALL
Registered Nurse
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
KATIE JO CARSTENS PA-C
Physician Assistant
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1101

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 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.

Where is Paul Boeder located?

Paul Boeder practices at 1100 Bergslien St, Baldwin, WI 54002. The listed phone number is (715) 684-1111.

What is Paul Boeder's specialty?

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

Is Paul Boeder enrolled in Medicare?

Yes. Paul Boeder 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.

Which organizations bill Medicare for Paul Boeder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Boeder reassigns Medicare benefits to 5 organizations: Baldwin Area Medical Center, Inc. (Baldwin, WI), Allina Health System (River Falls, WI), Prairie Ridge Health Inc. (Sun Prairie, WI), Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI) and Obhg Wisconsin, S.C. (Greenville, SC). Each 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 Paul Boeder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Boeder accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Providence Health Plan and Quartz and 1 other insurer list Paul Boeder 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 Paul Boeder affiliated with any hospitals?

According to CMS data, Paul Boeder is affiliated with Columbus Community Hospital.

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.