JOHN DANIEL BOCINSKY (MD) – Sports Medicine (Family Medicine) Physician, NPI 1952978678
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
423 SPORTS MEDICINE in FL
Provider Addresses for JOHN DANIEL BOCINSKY (MD)
13000 US Highway 1 Ste 5
Sebastian, FL 329583773
Phone: (772) 581-5881
Fax: (772) 581-5883
Type: Location
240 N WICKHAM RD STE 104
MELBOURNE, FL 329358663
Phone: (321) 541-1777
Fax: (321) 541-1786
Type: Location
240 N WICKHAM RD STE 102
MELBOURNE, FL 329358663
Phone: (321) 541-1777
Fax: (321) 541-1787
Type: Location
240 N WICKHAM RD STE 108
MELBOURNE, FL 329358663
Phone: (321) 541-1777
Fax: (321) 541-1788
Type: Mailing
551 E SOUTHAMPTON DR # DC106.00
COLUMBIA, MO 652014236
Phone: (573) 884-7733
Fax: (573) 882-6228
Type: Mailing
60 Columbia St
Orlando, FL 328061115
Phone: (407) 649-6876
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: 2025-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250819004816 | I | Sports Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32958)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Hand Surgery, Orthopedic Surgery, Sports Medicine | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | NY | |
| Infectious Disease | FL | |
| Internal Medicine | PA |
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