AUSTIN DOUGLAS BOHNER (MD) – Ophthalmology Physician, NPI 1770111775
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,668 OPHTHALMOLOGY in CA
Provider Addresses for AUSTIN DOUGLAS BOHNER (MD)
1450 San Pablo St # 4400
Los Angeles, CA 900335331
Phone: (800) 872-2273
Type: Location
65 S Mario Capecchi Dr
Salt Lake City, UT 841325331
Phone: (801) 877-7911
Type: Location
500 W Fort St
Boise, ID 837024501
Phone: (208) 422-1314
Type: Location
500 W FORT ST
BOISE, ID 837024501
Phone:
Type: Mailing
1450 SAN PABLO ST # 4400
LOS ANGELES, CA 900335331
Phone:
Type: Mailing
11820 S STATE ST STE 200
DRAPER, UT 840207160
Phone: (801) 568-0200
Fax: (801) 563-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,506.
Total Amount is formed as General ($1,506) + Research ($0) + Ownership ($0) = $1,506.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Alcon Vision LLC ($1,109).
Total Amount
$1,506
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,506
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $1,109 |
| ABBVIE INC. | $227 |
| Glaukos Corporation | $142 |
| NEW WORLD MEDICAL,INC. | $29 |
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: 2025-10-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240711003710 | I | Ophthalmology | UT | TBD |
| I20251007003776 | I | Ophthalmology | TX | TBD |
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.
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 90033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| Physician Assistant | UT |
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