BOHDAN A LEBEDOWICZ (MD) – Internal Medicine Physician, NPI 1023087731

BOHDAN A LEBEDOWICZ (MD) is a healthcare provider. based in Rolla, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2010005856 (MO). The NPI Number for BOHDAN A LEBEDOWICZ (MD) is 1023087731

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
BOHDAN A LEBEDOWICZ (MD)
NPI
1023087731
Phone
(573) 364-9000
Address
1000 W 10th St
Enumeration Date
15 March 2006
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733306468
Graduation Year
1983 (43 years ago)
PAC ID
5294794186
Group Practice PAC ID
3072880962
Professional Enrollment ID
I20101220000159
Address ID
MO636401836FA203XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for BOHDAN A LEBEDOWICZ (MD)

  • 1000 W 10th St

    Rolla, MO 654012905

    Phone: (573) 364-9000

    Fax: (573) 426-2108

    Type: Location

  • West 10th Street, Rolla, Phelps County, Missouri, 65409, United States

    ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS

    ROLLA, MO 654012905

    Phone: (573) 364-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,751.

Total Amount is formed as General ($1,751) + Research ($0) + Ownership ($0) = $1,751.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($437).

Total Amount

$1,751

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,751

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2010-12-20

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
I20101220000159IInternal MedicineMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65401)

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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: 3072880962View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Mental Health CounselorMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for BOHDAN A LEBEDOWICZ (MD) in U.S. healthcare records?
The official identifier for BOHDAN A LEBEDOWICZ (MD) is NPI 1023087731.
Is BOHDAN A LEBEDOWICZ (MD) shown as active in public data?
Registry records indicate BOHDAN A LEBEDOWICZ (MD) maintains an active NPI.
What kind of doctor is BOHDAN A LEBEDOWICZ (MD)?
BOHDAN A LEBEDOWICZ (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with BOHDAN A LEBEDOWICZ (MD)?
Directory geography for BOHDAN A LEBEDOWICZ (MD) centers on Rolla, Missouri.
Can I trust this NPI listing for BOHDAN A LEBEDOWICZ (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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