DR. AMY JANE BOGARDUS (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1558325878

DR. AMY JANE BOGARDUS (D.M.D.) is a healthcare provider. based in Danville, Kentucky. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials D.M.D.. They hold a License No. 6874 (KY). The NPI Number for DR. AMY JANE BOGARDUS (D.M.D.) is 1558325878

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY JANE BOGARDUS (D.M.D.)
NPI
1558325878
Phone
(859) 236-1130
Address
400 S 4TH ST
Enumeration Date
13 April 2006
Last Update Date
15 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
5991972127
Group Practice PAC ID
5799757514
Professional Enrollment ID
I20120524000553
Address ID
KY404222007DA400XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

23 MAXILLOFACIAL SURGERY in KY

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Provider Addresses for DR. AMY JANE BOGARDUS (D.M.D.)

  • 400, South 4th Street, Baughman Heights, Danville, Boyle County, Kentucky, 40422, United States

    DANVILLE, KY 404222007

    Phone: (859) 236-1130

    Fax: (859) 239-9384

    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: 2012-05-24

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
I20120524000553IMaxillofacial SurgeryKYTBD

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
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 40422)

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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: 5799757514View full group profile

Reviews

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Frequently asked questions

How do I look up DR. AMY JANE BOGARDUS (D.M.D.) by NPI?
Use NPI 1558325878 when you need to reference DR. AMY JANE BOGARDUS (D.M.D.) in forms, claims, or directories.
Does this profile mean DR. AMY JANE BOGARDUS (D.M.D.) is currently active?
Yes — DR. AMY JANE BOGARDUS (D.M.D.) appears active in the national provider directory.
What kind of provider is DR. AMY JANE BOGARDUS (D.M.D.)?
The page reflects Oral and Maxillofacial Surgery (Dentist) for DR. AMY JANE BOGARDUS (D.M.D.). Clinical services aligned with this taxonomy classification.
Does DR. AMY JANE BOGARDUS (D.M.D.) practice in Kentucky?
You will see Danville, Kentucky on file for DR. AMY JANE BOGARDUS (D.M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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