STACI BOGIN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1902119902

STACI BOGIN (DPM) is a healthcare provider. based in Thornton, Colorado. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD-698 (CO). The NPI Number for STACI BOGIN (DPM) is 1902119902

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
STACI BOGIN (DPM)
NPI
1902119902
Phone
(720) 328-2022
Address
3879 E 120TH AVE
Enumeration Date
19 July 2010
Last Update Date
13 September 2013

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7203822022
Graduation Year
2007 (19 years ago)
PAC ID
6800078783
Professional Enrollment ID
I20110314000956
Address ID
CO802334469TH3655XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

257 PODIATRY in CO

Provider Addresses for STACI BOGIN (DPM)

  • 3879 E 120TH AVE

    #337

    THORNTON, CO 802331658

    Phone: (720) 328-2022

    Fax: (720) 328-1224

    Type: Mailing

  • 3655 E 104TH AVE

    SUITE B

    THORNTON, CO 802334469

    Phone: (720) 328-2022

    Fax: (720) 328-1224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,216.

Total Amount is formed as General ($1,216) + Research ($0) + Ownership ($0) = $1,216.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: MIMEDX Group, Inc. ($755).

Total Amount

$1,216

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2011-03-14

PECOS data refreshed: 2026-06-15

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
I20110314000956IPodiatryCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails15951$0
99213Established patient office or other outpatient visit, 20-29 minutes5433$0
99214Established patient office or other outpatient visit, 30-39 minutes2520$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 80233)

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Reviews

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Frequently asked questions

How do payers reference STACI BOGIN (DPM)?
For STACI BOGIN (DPM), use NPI 1902119902 as the unique 10-digit identifier.
Is STACI BOGIN (DPM) still an active registrant?
STACI BOGIN (DPM) carries an active NPI according to the public dataset.
What kind of doctor is STACI BOGIN (DPM)?
STACI BOGIN (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is STACI BOGIN (DPM) located near Thornton?
STACI BOGIN (DPM) currently maps to Thornton, Colorado in this extract.
Does STACI BOGIN (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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