DR. KENNETH JEROME BOOMGAARD M.D.
NPI 1427047034
Family Medicine in Elmendorf Afb, AK

Q: What is Kenneth Boomgaard's NPI number?

The NPI number for Kenneth Boomgaard is 1427047034. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Q: What is Kenneth Boomgaard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Boomgaard was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 October 17, 2005PECOS EnrolledAccepts Medicare Assignment

76.63/100

CMS Quality Rating

3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER, 5955 ZEAMER AVE, ELMENDORF AFB, AK 99506(907) 580-2956(907) 580-2308 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Kenneth Jerome Boomgaard M.d. NPPES

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

DR. KENNETH JEROME BOOMGAARD M.D. (NPI 1427047034) is an individual family medicine provider in Elmendorf Afb, Alaska, licensed in Michigan (4301071073) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1427047034

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNETH JEROME BOOMGAARDCredential: M.D.

Location Address3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER, 5955 ZEAMER AVEElmendorf Afb, AK 99506-3700

Mailing Address21950 Sheltering Spruce LoopChugiak, AK 99567-5402 · (907) 688-7826 · Fax (907) 580-2308

Phone(907) 580-2956

Fax(907) 580-2308

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1995

Enumeration DateOctober 17, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1427047034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301071073

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER, Elmendorf Afb, AK 99506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Dr. Kenneth Jerome Boomgaard M.d. 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 ID9436331840

PECOS Enrollment IDI20110307000506

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 Reassignment

Medicare enrollment records show Kenneth Boomgaard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aa Pain Clinic, Inc.

8.2 mi

Pain Medicine

1917 ABBOTT RD STE 100
Anchorage, AK 99507

Reassigned Medicare billing, Alaska enrollment
9 clinicians in this Medicare group

NPI 1972596633 (907) 563-2873

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

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,963 services387 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

855 services111 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

728 services264 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

415 services189 patients

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

116 services74 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

91 services64 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

32 services30 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

18 services15 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

17 services17 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

16 services16 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

15 services13 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99506 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

Most-billed visit code 99214

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

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.

76.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

48.97

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

66%269 patients3/55-star benchmark: 100%

Breast Cancer Screening

1%308 patients1/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

27%208 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

4%642 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

49%39 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%44 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%44 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

79%6,020 patients3/55-star benchmark: 100%

e-Prescribing

100%1,938 patients5/55-star benchmark: 100%

HIV Screening

1%703 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

22%880 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

20%4,783 patients2/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

77%786 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

67%72 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 266 patients

Patients totalRate: 20% · 274 patients

21%274 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Kenneth Boomgaard's NPI number?

The NPI number for Kenneth Boomgaard is 1427047034. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Kenneth Boomgaard located?

Kenneth Boomgaard practices at 3rd Medical Group, Elmendorf Regional Medical Center 5955 Zeamer Ave, Elmendorf Afb, AK 99506. The listed phone number is (907) 580-2956.

What is Kenneth Boomgaard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Boomgaard enrolled in Medicare?

Yes. Kenneth Boomgaard 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 organization bills Medicare for Kenneth Boomgaard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Boomgaard reassigns Medicare benefits to Aa Pain Clinic, Inc. (Anchorage, AK). The 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 Kenneth Boomgaard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Boomgaard accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Kenneth Boomgaard 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 Kenneth Boomgaard was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.