BLAKE MICHAEL BODENDORFER (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1083000905
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for BLAKE MICHAEL BODENDORFER (M.D.)
1611 W HARRISON ST STE 400
CHICAGO, IL 606124861
Phone: (312) 432-2351
Fax: (708) 409-5179
Type: Location
1 EDMUNDSON PL STE 500
COUNCIL BLUFFS, IA 515034619
Phone: (712) 323-5333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 157 Open Payments records for all available years, with a total value of $19,436.
Total Amount is formed as General ($19,436) + Research ($0) + Ownership ($0) = $19,436.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Stryker Corporation ($14,896).
Total Amount
$19,436
General + Research + Ownership
Payments
157
Total payment records
General Amount
$19,436
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $14,896 |
| Arthrex, Inc. | $3,524 |
| Conetic Solutions, Inc. | $913 |
| DePuy Synthes Sales Inc. | $43 |
| Vericel Corporation | $43 |
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: 2021-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210709002703 | I | Orthopedic Surgery | IA | TBD |
| I20210817002235 | I | Orthopedic Surgery | NE | 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 |
|---|---|---|---|---|
| 73030 | X-ray of shoulder, minimum of 2 views | 139 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 83 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 105 | 38 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 85 | 66 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 79 | 57 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | NE | |
| Orthopedic Surgery | NE | |
| Physician Assistant | NE | |
| Cardiovascular Disease (Cardiology) | NE | |
| H O S P I T A L I S T | CA | |
| N E U R O L O G Y | MO | |
| U R O L O G Y | NE | |
| Hospitalist, Internal Medicine | IA | |
| Family Practice | NE | |
| N E P H R O L O G Y | NE |
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