DR. BRENTON CHARLES BOHLIG (M.D.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1992123335
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 SPORTS MEDICINE in KY
Provider Addresses for DR. BRENTON CHARLES BOHLIG (M.D.)
4402 Churchman Ave Ste 300
Louisville, KY 402153101
Phone: (502) 363-0588
Type: Location
950 BETHESDA DRIVE
BUILDING 5, UNIT 1
ZANESVILLE, OH 43701
Phone: (740) 586-6828
Fax: (740) 586-6511
Type: Mailing
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 $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$225
General + Research + Ownership
Payments
2
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
| DJO, LLC | $100 |
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: 2024-12-30
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 |
|---|---|---|---|---|
| I20241230001223 | I | Sports Medicine | KY | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,064 | 159 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 219 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
Insurance plans in this area (ZIP 40215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| O P H T H A L M O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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