DR. MARY MICHELLE BOGEN (DPM) – Podiatrist, NPI 1649288663

DR. MARY MICHELLE BOGEN (DPM) is a healthcare provider. based in Venice, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO3104 (FL). The NPI Number for DR. MARY MICHELLE BOGEN (DPM) is 1649288663

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY MICHELLE BOGEN (DPM)
NPI
1649288663
Phone
(941) 488-0222
Address
712 THE RIALTO
Enumeration Date
4 August 2006
Last Update Date
9 November 2007

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
9185677000
Graduation Year
2002 (24 years ago)
PAC ID
0042112237
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20170124000843
Address ID
OK745712022TA1XXXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for DR. MARY MICHELLE BOGEN (DPM)

  • 712, The Rialto, Venice, Sarasota County, Florida, 34285, United States

    VENICE, FL 342853524

    Phone: (941) 488-0222

    Fax: (941) 480-1668

    Mailing address matches the actual address.

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: 2017-01-24

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
I20170124000843IPodiatryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes354299$0
99214Established patient office or other outpatient visit, 30-39 minutes9680$0
11721Removal of fingernails or toenails, 6 or more nails6839$0
View full utilization report →

Insurance plans in this area (ZIP 34285)

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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: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
Orthopedic Surgery, Sports MedicineTX
-OK

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MARY MICHELLE BOGEN (DPM)?
DR. MARY MICHELLE BOGEN (DPM) — NPI 1649288663 — is the standard way to identify this listing.
Is DR. MARY MICHELLE BOGEN (DPM) still practicing?
DR. MARY MICHELLE BOGEN (DPM) is currently listed as active in the public NPI registry.
What is DR. MARY MICHELLE BOGEN (DPM)'s specialty?
The listing groups DR. MARY MICHELLE BOGEN (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARY MICHELLE BOGEN (DPM) on a map?
Expect Venice, Florida as a primary anchor for DR. MARY MICHELLE BOGEN (DPM) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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