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DR. CHARLES ERIC BOBACK MD
NPI 1487637971
Family Medicine in Stillwater, MN

Active since November 29, 2005PECOS Enrolled
1500 CURVE CREST BLVD W, STILLWATER, MN 55082(651) 439-1234(651) 275-3325 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2021, Nov 9, 2020 (2 updates tracked since 2020).

About Dr. Charles Eric Boback Md NPPES

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

DR. CHARLES ERIC BOBACK MD (NPI 1487637971) is an individual family medicine provider in Stillwater, Minnesota, licensed in Minnesota (26918) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487637971
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES ERIC BOBACKCredential: MD
Location Address1500 CURVE CREST BLVD WStillwater, MN 55082-6040
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
Phone(651) 439-1234
Fax(651) 275-3325
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateMarch 10, 20212 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1487637971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 26918
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.
1500 CURVE CREST BLVD W, Stillwater, MN 55082
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Other Identifiers 2

Medicaid30498700WI
Medicaid605863900MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Eric Boback Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

ALISON GARDNER PA-C
Physician Assistant
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
MRS. KATELYN STAHNKE ATC
Specialist/Technologist (Athletic Trainer)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
DR. STEPHEN MARK SCALLON MD
Pediatrics
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
JOSHUA JAMES SLETTA RD
Dietitian, Registered
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
DR. ERIC GRANT MEINBERG M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
MR. EVAN ROBERT OLSON DPT
Physical Therapist
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
DR. BRENT CUNNINGHAM DO
Family Medicine
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
LAURA J MEYER NP
Nurse Practitioner
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234

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 Charles Boback's NPI number?

The NPI number for Charles Boback is 1487637971. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Charles Boback located?

Charles Boback practices at 1500 Curve Crest Blvd W, Stillwater, MN 55082. The listed phone number is (651) 439-1234.

What is Charles Boback's specialty?

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

Is Charles Boback enrolled in Medicare?

Yes. Charles Boback is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Boback was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.