Boone Physician Services, LLC

NPI 1760893259ActiveOrganization· Clinic/Center, Multi-Specialty· Columbia, MO

Clinic/Center, Multi-Specialty in Columbia, Missouri, registered in NPPES in May 2014, part of Boone Hospital Center. The authorized official on file is Brian Lee Winn, Director Of Finance. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1760893259
Status	Active
Entity type	Organization (subpart)
Parent organization	Boone Hospital Center
NPI issued	May 19, 2014
Last updated in NPPES	Mar 15, 2021
Certified by provider	Mar 15, 2021

Specialties and licenses

Taxonomy	Code	License	State
Clinic/Center, Multi-Specialty Primary	261QM1300X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WI)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

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