MICHAEL JASON BOHNEY (PA-C) – Surgical Physician Assistant, NPI 1063016566

MICHAEL JASON BOHNEY (PA-C) is a healthcare provider. based in Crown point, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10003172 (IN). The NPI Number for MICHAEL JASON BOHNEY (PA-C) is 1063016566

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JASON BOHNEY (PA-C)
NPI
1063016566
Phone
(317) 771-6822
Address
12800 Mississippi Pkwy Ste A201
Enumeration Date
24 November 2020
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199211444
Graduation Year
2020 (6 years ago)
PAC ID
5395159784
Group Practice PAC ID
3173500519
Professional Enrollment ID
I20210126002168
Address ID
IN463049658CH601XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MICHAEL JASON BOHNEY (PA-C)

  • 12800 Mississippi Pkwy Ste A201

    Crown Point, IN 463076902

    Phone: (317) 771-6822

    Type: Location

  • 833 W Lincoln Hwy Ste 110E

    Schererville, IN 463754606

    Phone: (219) 921-1444

    Fax: (219) 921-5303

    Type: Location

  • 8483 HICKORY HILL TRL

    MOORESVILLE, IN 461588238

    Phone: (317) 771-6822

    Type: Mailing

  • 500 E 109TH AVE

    CROWN POINT, IN 46307

    Phone: (219) 921-1444

    Fax: (219) 921-5303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Lightbody Medical Technologies Inc ($30).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-26

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
I20210126002168IPhysician AssistantINTBD

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
27447Replacement of knee joint, both sides of knee4746$0
29826Shaving of part of shoulder bone and repair of ligament using an endoscope2121$0
29824Partial removal of collar bone at shoulder using an endoscope1919$0
29827Repair of shoulder rotator cuff using an endoscope1818$0
23430Anchoring of biceps tendon1717$0
View full utilization report →

Insurance plans in this area (ZIP 46307)

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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: 3173500519View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physician AssistantIN
Occupational Therapist In Private PracticeIL
Orthopedic SurgeryIN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-IN
Physician AssistantIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What number should I use to identify MICHAEL JASON BOHNEY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1063016566 for MICHAEL JASON BOHNEY (PA-C).
Does the public listing show MICHAEL JASON BOHNEY (PA-C) as active?
MICHAEL JASON BOHNEY (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits MICHAEL JASON BOHNEY (PA-C)?
NPPES ties MICHAEL JASON BOHNEY (PA-C) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MICHAEL JASON BOHNEY (PA-C) tied to Crown Point, Indiana?
If you are local to Crown Point, Indiana, MICHAEL JASON BOHNEY (PA-C) may be relevant to your search.
Who maintains MICHAEL JASON BOHNEY (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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