JOHN M BODEN (M.D.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1417937707

JOHN M BODEN (M.D.) is a healthcare provider. based in Santa rosa beach, Florida. specializing in HOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME94719 (FL). The NPI Number for JOHN M BODEN (M.D.) is 1417937707

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M BODEN (M.D.)
NPI
1417937707
Phone
(850) 502-1363
Address
6879 US Highway 98 W
Enumeration Date
20 January 2006
Last Update Date
17 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2515333509
Graduation Year
2002 (24 years ago)
PAC ID
0042226912
Group Practice PAC ID
5799031969
Professional Enrollment ID
I20060301000699
Address ID
FL325037668PE45XXXBLVD301

Contacts

Secure Messaging
referral@vitas.direct.kno2fy.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

298 HOSPICE/PALLIATIVE CARE in FL

Provider Addresses for JOHN M BODEN (M.D.)

  • 6879 US Highway 98 W

    Santa Rosa Beach, FL 324593257

    Phone: (850) 502-1363

    Fax: (850) 689-0004

    Type: Location

  • 1230 Creighton Rd

    Pensacola, FL 325047161

    Phone: (877) 868-4827

    Type: Location

  • PO BOX 17668

    PENSACOLA, FL 325227668

    Phone: (850) 469-7406

    Type: Mailing

  • Baptist Hospital, 1000, West Moreno Street, Pensacola, Escambia County, Florida, 32501, United States

    PENSACOLA, FL 325012316

    Phone: (850) 469-7406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-01

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
I20060301000699IHospice/Palliative CareFLTBD

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
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a540262$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and445336$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi11436$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days9533$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes9282$0
View full utilization report →

Insurance plans in this area (ZIP 32459)

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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: 5799031969View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
-TN
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerWI
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for JOHN M BODEN (M.D.) in U.S. healthcare records?
The official identifier for JOHN M BODEN (M.D.) is NPI 1417937707.
Active or inactive — what applies to JOHN M BODEN (M.D.)?
You should see JOHN M BODEN (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to JOHN M BODEN (M.D.)?
JOHN M BODEN (M.D.)'s specialty line reads Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is JOHN M BODEN (M.D.) registered?
Use Santa Rosa Beach, Florida as the headline location for JOHN M BODEN (M.D.) here.
Can I trust this NPI listing for JOHN M BODEN (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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