STEPHANIE BODES (MD) – Emergency Medicine Physician, NPI 1780635490

STEPHANIE BODES (MD) is a healthcare provider. based in Boise, Idaho. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. M6782 (ID). The NPI Number for STEPHANIE BODES (MD) is 1780635490

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE BODES (MD)
NPI
1780635490
Phone
(208) 381-2222
Address
190 E BANNOCK ST
Enumeration Date
15 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2083819384
Graduation Year
1991 (35 years ago)
PAC ID
7810955572
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20100819000352
Address ID
ID837126241BO190XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

270 EMERGENCY MEDICINE in ID

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Provider Addresses for STEPHANIE BODES (MD)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    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: 2010-08-19

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
I20100819000352IEmergency MedicineIDTBD

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
99285Emergency department visit with high level of medical decision making181179$0
99284Emergency department visit with moderate level of medical decision making102101$0
99291Critical care, first 30-74 minutes3939$0
99283Emergency department visit with low level of medical decision making3131$0
99292Critical care, each additional 30 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE BODES (MD)'s NPI?
Yes. STEPHANIE BODES (MD) is listed with NPI 1780635490 in the public NPI dataset.
Is STEPHANIE BODES (MD) listed as active for patients and plans?
The listing shows STEPHANIE BODES (MD) as active in the NPI system.
What is STEPHANIE BODES (MD)'s specialty?
The listing groups STEPHANIE BODES (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE BODES (MD) on a map?
Expect Boise, Idaho as a primary anchor for STEPHANIE BODES (MD) unless the record lists multiple sites.
Why does STEPHANIE BODES (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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