FRED S BODKER (MD) – Specialist, NPI 1417944208
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
157 OPHTHALMOLOGY in KS
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Provider Addresses for FRED S BODKER (MD)
PO BOX 803861
KANSAS CITY, MO 641803861
Phone: (913) 341-3100
Fax: (913) 341-6818
Type: Mailing
7504, Antioch Road, Overland Park, Johnson County, Kansas, 66204, United States
OVERLAND PARK, KS 662042622
Phone: (913) 341-3100
Fax: (913) 341-6818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $1,330.
Total Amount is formed as General ($1,330) + Research ($0) + Ownership ($0) = $1,330.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Amgen Inc. ($338).
Total Amount
$1,330
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $338 |
| Horizon Therapeutics plc | $333 |
| Oyster Point Pharma, Inc. | $175 |
| Tarsus Pharmaceuticals, Inc. | $107 |
| Bausch & Lomb Americas Inc. | $72 |
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: 2010-01-19
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 |
|---|---|---|---|---|
| I20100119000474 | I | Ophthalmology | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 611 | 532 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 306 | 224 | $0 |
| 92285 | Photography of content of eyes | 300 | 265 | $0 |
| 92082 | Exam of visual field with intermediate testing | 130 | 116 | $0 |
| 92133 | Imaging of optic nerve | 119 | 115 | $0 |
Insurance plans in this area (ZIP 64180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KS | |
| O P H T H A L M O L O G Y | KS | |
| - | MO | |
| O P H T H A L M O L O G Y | KS | |
| O P T O M E T R Y | MO | |
| - | KS | |
| O P T O M E T R Y | KS | |
| O P H T H A L M O L O G Y | KS | |
| O P H T H A L M O L O G Y | KS | |
| O P T O M E T R Y | KS |
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