DR. DANIEL THEODORE BOEDER
NPI 1669039822
Psychiatry & Neurology - Child & Adolescent Psychiatry in Springfield, IL

NPI Status: Active since May 23, 2019

Contact Information

319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 545-6900
Fax: (217) 585-6893

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  • Individual
  • Male
  • Years of Experience 7
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About DANIEL BOEDER

This page provides the complete NPI Profile along with additional information for Daniel Boeder, a provider established in Springfield, Illinois with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 7 years of experience. He graduated from Southern Illinois University School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1669039822 assigned on May 2019. The practitioner's primary taxonomy code is 2084P0804X with license number 125.073980 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1669039822
Provider Name
DR. DANIEL THEODORE BOEDER
Gender
Male
Entity Type
Individual
Location Address
319 E MADISON ST FL 3 SPRINGFIELD, IL 62701
Location Phone
(217) 545-6900
Location Fax
(217) 585-6893
Mailing Address
PO BOX 19642 SPRINGFIELD, IL 62794
Mailing Phone
(217) 656-8229
Mailing Fax
(217) 585-6893
Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
05-23-2019
Last Update Date
06-25-2024
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Location Map

Secondary Locations

  • 927 Broadway St
    Quincy, IL 62301
    (217) 224-4453

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
125.073980
License State
IL
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

125.073980 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Simple - EPO
  • Silver Classic Standard - EPO
  • Silver Elite Saver Plus - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple Women's Health with Menopause Benefits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Daniel Boeder is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Daniel Boeder is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 547596058

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250923003854

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. DANIEL THEODORE BOEDER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669039822, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 0 + 3 + 1 + 8 + 8 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1669039822.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Social Worker (Clinical)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Social Worker (Clinical)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701
Psychiatry & Neurology (Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL 62701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669039822, enumerated as an "individual" on May 23, 2019.

The provider is located at 319 E MADISON ST FL 3 SPRINGFIELD, IL 62701 and the phone number is (217) 545-6900.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.