Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Scott Boedefeld, MD

Individual provider Anesthesiology Physician · NPI 1043299548

Dr. Michael Scott Boedefeld, MD is an Interventional Pain Management in Fenton, Missouri. Graduated from Creighton University School of Medicine in 1999, 27 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
27
Trained at
Creighton University School of Medicine
Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 Bowles Ave Ste 202
Fenton, MO 63026-2308
Phone: (636) 386-7222
Fax: (636) 386-7810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4800 Mexico Rd Ste 101, Saint Peters, MO 63376-1666 — (636) 442-5035

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 2004009978 (MO)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2004009978 (MO)

Record details

NPI number1043299548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address4800 Mexico Rd Ste 101, Saint Peters, MO 63376-1666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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