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JOHN BOETGER LCSW
NPI 1851232250
Social Worker - Clinical in Erie, PA

Active since April 02, 2026PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Boetger Lcsw NPPES

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

JOHN BOETGER LCSW (NPI 1851232250) is an individual clinical provider in Erie, Pennsylvania, licensed in Pennsylvania (CW027284) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851232250
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN BOETGERCredential: LCSW
Location Address544 W 9TH STErie, PA 16502-1350
Mailing Address544 W 9th StErie, PA 16502-1350 · (814) 413-1251
Phone(814) 413-1251
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 2, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1851232250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW027284
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
544 W 9TH ST, Erie, PA 16502
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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

John Boetger Lcsw 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 ID2567930589
PECOS Enrollment IDI20260508000026
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 John Boetger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sailor Health Medical PA
1,128 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 37 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 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
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Boetger's NPI number?

The NPI number for John Boetger is 1851232250. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is John Boetger located?

John Boetger practices at 544 W 9th St, Erie, PA 16502. The listed phone number is (814) 413-1251.

What is John Boetger's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Boetger enrolled in Medicare?

Yes. John Boetger 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 John Boetger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Boetger reassigns Medicare benefits to Sailor Health Medical PA (Coral Gables, FL). 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 John Boetger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Boetger was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.