DR. RYAN BOGNER (M.D.) – Dermatology Physician, NPI 1225440324
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
Provider Addresses for DR. RYAN BOGNER (M.D.)
2857 CHARLESTOWN RD STE 100
NEW ALBANY, IN 471501998
Phone: (812) 944-7500
Fax: (812) 944-6424
Type: Mailing
PO BOX 950132
LOUISVILLE, KY 402950132
Phone: (888) 980-8992
Type: Mailing
4656 40TH AVE S
FARGO, ND 581044397
Phone: (701) 234-8860
Fax: (701) 234-8924
Type: Location
310 E Broadway Ste 200
Louisville, KY 402021745
Phone: (502) 585-5249
Type: Location
5129 Dixie Hwy Ste 301
Louisville, KY 402161731
Phone: (502) 709-4940
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $865.
Total Amount is formed as General ($865) + Research ($0) + Ownership ($0) = $865.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($359).
Total Amount
$865
General + Research + Ownership
Payments
49
Total payment records
General Amount
$865
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-05-19
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 |
|---|---|---|---|---|
| I20180709003276 | I | Dermatology | KY | TBD |
| I20220519001587 | I | Dermatology | IN | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 276 | 202 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 208 | 48 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 149 | 94 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 133 | 98 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 102 | 76 | $0 |
Insurance plans in this area (ZIP 47150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY |
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