ROBERT M. BOGDASARIAN (PA-C) – Physician Assistant, NPI 1063838258

ROBERT M. BOGDASARIAN (PA-C) is a healthcare provider. based in Worcester, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4961 (MA). The NPI Number for ROBERT M. BOGDASARIAN (PA-C) is 1063838258

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT M. BOGDASARIAN (PA-C)
NPI
1063838258
Phone
(508) 368-5532
Address
630 PLANTATION ST
Enumeration Date
12 March 2014
Last Update Date
1 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4139981980
Graduation Year
2013 (13 years ago)
PAC ID
6507080421
Group Practice PAC ID
0840542791
Professional Enrollment ID
I20140617000142
Address ID
MA010893337WE123XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for ROBERT M. BOGDASARIAN (PA-C)

  • 630 PLANTATION ST

    WORCESTER, MA 016052038

    Phone: (508) 368-5532

    Type: Mailing

  • 460 SOUTHBRIDGE ST

    AUBURN, MA 015012442

    Phone: (774) 221-5135

    Fax: (774) 221-5136

    Type: Location

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: 2014-06-17

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
I20140617000142IPhysician AssistantMATBD

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
99285Emergency department visit with high level of medical decision making9389$0
99284Emergency department visit with moderate level of medical decision making8077$0
99291Critical care, first 30-74 minutes1313$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 01605)

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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: 0840542791View full group profile

Reviews

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Frequently asked questions

What is the registry number for ROBERT M. BOGDASARIAN (PA-C)?
The registry entry for ROBERT M. BOGDASARIAN (PA-C) shows NPI 1063838258.
Is ROBERT M. BOGDASARIAN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists ROBERT M. BOGDASARIAN (PA-C) as active.
What does the directory say ROBERT M. BOGDASARIAN (PA-C) does?
Insurance directories may phrase it differently, but here ROBERT M. BOGDASARIAN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROBERT M. BOGDASARIAN (PA-C)?
ROBERT M. BOGDASARIAN (PA-C) is associated with Worcester, Massachusetts in the same public data insurers reference.
Who maintains ROBERT M. BOGDASARIAN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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