DR. GORDON A. BODZIN (M.D.) – Surgery Physician, NPI 1053388637
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
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Provider Addresses for DR. GORDON A. BODZIN (M.D.)
Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States
MENTOR, OH 44060
Phone: (440) 354-0377
Fax: (440) 354-9368
Type: Mailing
5105 SOM CENTER RD #107
MENTOR, OH 44060
Phone: (440) 953-5712
Fax: (440) 953-5713
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Medtronic, Inc. ($19).
Total Amount
$45
General + Research + Ownership
Payments
4
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $19 |
| Boston Scientific Corporation | $15 |
| Intuitive Surgical, Inc. | $11 |
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: 2014-03-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140317001751 | I | General Surgery | OH | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 25 | 25 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 18 | 14 | $0 |
Insurance plans in this area (ZIP 44060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OH | |
| Family Practice | OH | |
| P O D I A T R Y | OH | |
| Pain Management | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| - | PA | |
| P S Y C H I A T R Y | PA |
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