DR. KARL D BODENDORFER (MD) – Ophthalmology Physician, NPI 1205947959
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,552 OPHTHALMOLOGY in FL
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Provider Addresses for DR. KARL D BODENDORFER (MD)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
LAKE CITY, FL 320560489
Phone: (386) 755-2785
Fax: (386) 755-2785
Type: Mailing
1615, Southwest Main Boulevard, Lake City, Columbia County, Florida, 32025, United States
LAKE CITY, FL 320251108
Phone: (386) 755-2785
Fax: (386) 755-1128
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $1,948.
Total Amount is formed as General ($1,948) + Research ($0) + Ownership ($0) = $1,948.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($685).
Total Amount
$1,948
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,948
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $685 |
| Alcon Vision LLC | $233 |
| Ocular Therapeutix, Inc. | $186 |
| Tarsus Pharmaceuticals, Inc. | $162 |
| Johnson & Johnson Surgical Vision, Inc. | $155 |
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: 2004-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040405001853 | I | Ophthalmology | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 2,080 | 110 | $0 |
| 92014 | Established patient complete exam of visual system | 1,294 | 1,019 | $0 |
| 92134 | Imaging of retina | 553 | 473 | $0 |
| 95930 | Measurement of nerve conduction using visual stimulation testing with report | 449 | 391 | $0 |
| 0509T | Pattern recording of retinal electrical responses to external stimuli with interpretation and report | 345 | 299 | $0 |
Insurance plans in this area (ZIP 32056)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | FL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 706 | 369 |
| OPHTHALMOLOGY | FL | 92083 | Measurement of field of vision during daylight conditions | 457 | 440 |
| OPHTHALMOLOGY | FL | 92134 | Diagnostic imaging of retina | 341 | 259 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | NY | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL |
Reviews
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