DR. MICHAEL STEPHEN BOGARD (DO) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1114412939

DR. MICHAEL STEPHEN BOGARD (DO) is a healthcare provider. based in San diego, California. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. 20A17716 (CA). The NPI Number for DR. MICHAEL STEPHEN BOGARD (DO) is 1114412939

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL STEPHEN BOGARD (DO)
NPI
1114412939
Phone
(858) 524-7000
Address
8929 UNIVERSITY CENTER LN STE 206
Enumeration Date
25 June 2018
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
6195223600
Graduation Year
2018 (8 years ago)
PAC ID
1850832957
Group Practice PAC ID
9537108279
Professional Enrollment ID
I20241015000268
Address ID
CA921181943CO250XXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

3,024 ORTHOPEDIC SURGERY in CA

Provider Addresses for DR. MICHAEL STEPHEN BOGARD (DO)

  • 8929 UNIVERSITY CENTER LN STE 206

    SAN DIEGO, CA 921221008

    Phone: (858) 524-7000

    Fax: (858) 524-7005

    Type: Location

  • PO BOX 13061

    LA JOLLA, CA 920393061

    Phone: (714) 465-7064

    Fax: (858) 703-1001

    Type: Mailing

  • 8929 UNIVERSITY CENTER LN STE 210

    SAN DIEGO, CA 921221054

    Phone: (858) 703-1000

    Fax: (858) 703-1001

    Type: Location

  • Community Memorial Hospital, 147, North Brent Street, Ventura, Ventura County, California, 93003, United States

    VENTURA, CA 930032809

    Phone: (805) 652-5672

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $38,464.

Total Amount is formed as General ($38,464) + Research ($0) + Ownership ($0) = $38,464.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Arthrex, Inc. ($22,360).

Total Amount

$38,464

General + Research + Ownership

Payments

88

Total payment records

General Amount

$38,464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241015000268IOrthopedic SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537108279View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
N E U R O S U R G E R YCA
-CA
Internal MedicineCA
General SurgeryCA
Nephrology, Internal MedicineCA
P S Y C H I A T R YCA
Internal MedicineTX
Cardiovascular Disease (Cardiology), Internal MedicineCA
H E M A T O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL STEPHEN BOGARD (DO)?
The federal identifier for DR. MICHAEL STEPHEN BOGARD (DO) is NPI 1114412939.
Is DR. MICHAEL STEPHEN BOGARD (DO) active in the national directory?
DR. MICHAEL STEPHEN BOGARD (DO)'s public NPI profile is in an active state.
What does DR. MICHAEL STEPHEN BOGARD (DO) treat or focus on?
Patients typically see DR. MICHAEL STEPHEN BOGARD (DO) under the specialty Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MICHAEL STEPHEN BOGARD (DO)?
The snapshot lists San Diego, California for DR. MICHAEL STEPHEN BOGARD (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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