DR. SUSHANTH RAGHU BODA (DO) – Interventional Pain Medicine Physician, NPI 1780114975
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 PAIN MANAGEMENT in IL
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Provider Addresses for DR. SUSHANTH RAGHU BODA (DO)
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone:
Type: Mailing
3231 HIGHWAY 34 E STE C
NEWNAN, GA 302656407
Phone: (678) 971-4167
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 215 Open Payments records for all available years, with a total value of $27,895.
Total Amount is formed as General ($27,895) + Research ($0) + Ownership ($0) = $27,895.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Vertos Medical, Inc. ($12,453).
Total Amount
$27,895
General + Research + Ownership
Payments
215
Total payment records
General Amount
$27,895
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vertos Medical, Inc. | $12,453 |
| Abbott Laboratories | $6,663 |
| Saluda Medical Americas, Inc. | $1,997 |
| Nevro Corp. | $1,399 |
| Medtronic, Inc. | $1,191 |
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: 2022-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220912003840 | I | Pain Management | GA | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 650 | 275 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 557 | 261 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 505 | 260 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 246 | 132 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 174 | 99 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management | GA | |
| Physician Assistant | SC | |
| Pain Management | GA | |
| Internal Medicine | GA | |
| Physician Assistant | GA | |
| Physical Medicine And Rehabilitation | GA |
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