JEFFREY STEVEN BOBERG D.P.M. NPI 1437264595

NPI Information

  • NPI: 1437264595
  • Provider Name: JEFFREY STEVEN BOBERG, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9323 PHOENIX VILLAGE PKWY
    O FALLON, MO
    ZIP 63368
  • Phone: (636) 561-0871

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NPI Details

Jeffrey Steven Boberg, D.P.M. is a foot and ankle surgery podiatrist in O Fallon, MO with 44 years of experience. Jeffrey Steven Boberg, D.P.M. NPI is 1437264595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1981

The provider's business location address is:

9323 PHOENIX VILLAGE PKWY
O FALLON, MO
ZIP 63368-281
Phone: (636) 561-0871
Fax: (636) 561-5032

The NPI 1437264595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/20/2006 and was last updated on 5/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist000570MISSOURINo
2213ES0103XPodiatristFoot & Ankle Surgery000570MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15031350002OTHERILLINOISDMERC
25031350001OTHERMISSOURIDMERC
3302436829MEDICAIDMISSOURI
4P00081678OTHERMISSOURIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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