DR. JOHN L BOEDEKER DO
NPI 1780795393
Family Medicine in Mason City, IA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1010 4TH ST SW, MASON CITY, IA 50401(641) 428-6020(641) 428-7803 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Aug 15, 2022, Jul 30, 2020 and 1 more (4 updates tracked since 2018).

About Dr. John L Boedeker Do NPPES

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

DR. JOHN L BOEDEKER DO (NPI 1780795393) is an individual family medicine provider in Mason City, Iowa, licensed in Iowa (03763) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780795393
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN L BOEDEKERCredential: DO
Location Address1010 4TH ST SWMason City, IA 50401
Mailing Address1010 4th St SwMason City, IA 50401-2857 · (641) 428-6020
Fax(641) 428-7803
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 9, 20254 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1780795393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 03763
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.
1010 4TH ST SW, Mason City, IA 50401

Other Identifiers 1

Medicaid0452011IA

Accepted 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

Dr. John L Boedeker Do 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 ID9335232420
PECOS Enrollment IDI20070906000014
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.

Areas of Expertise CMS Part B claims 6

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.
656 services348 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.
457 services310 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
389 services389 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
80 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
37 services37 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Hancock County Health System

Critical Access Hospitals · Britt, IA
OwnershipGovernment - Local
CMS Certification Number161307
Location532 1st St NWBritt, IA 50423 · Hancock County
Emergency services

Floyd County Medical Center

Critical Access Hospitals · Charles City, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161347
Location800 11th StCharles City, IA 50616 · Floyd County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers171 claims265 services$5.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers45 claims47 services$0.82 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$46.28 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers24 claims61 services$25.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers20 claims20 services$69.16 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers17 claims17 services$23.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
1010 4TH ST SW
MASON CITY, IA 50401
Family Medicine
1010 4TH ST SW, SUITE 340
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW, STE 305
MASON CITY, IA 50401
Physician Assistant
1010 4TH ST SW, SUITE 120
MASON CITY, IA 50401
Clinic/Center (Magnetic Resonance Imaging (MRI))
1010 4TH ST SW, SUITE 100
MASON CITY, IA 50401
Radiology (Diagnostic Radiology)
1010 4TH ST SW, SUITE 100
MASON CITY, IA 50401
Pharmacist
1010 4TH ST SW
MASON CITY, IA 50401
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW, STE 340
MASON CITY, IA 50401

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 John Boedeker's NPI number?

The NPI number for John Boedeker is 1780795393. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is John Boedeker located?

John Boedeker practices at 1010 4th St SW, Mason City, IA 50401. The listed phone number is (641) 428-6020.

What is John Boedeker's specialty?

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

Is John Boedeker enrolled in Medicare?

Yes. John Boedeker 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.

What insurance does John Boedeker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list John Boedeker 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 John Boedeker affiliated with any hospitals?

According to CMS data, John Boedeker is affiliated with Mercyone North Iowa Medical Center, Hancock County Health System and Floyd County Medical Center.

When was this NPI record last updated?

The NPPES record for John Boedeker was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.