DR. WALTER BODJANAC (D.O.) – Plastic Surgery Physician, NPI 1376525188
Plastic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
150 GENERAL PRACTICE in OH
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Provider Addresses for DR. WALTER BODJANAC (D.O.)
2981, West 4th Street, Maybee, Ontario, Springfield Township, Richland County, Ohio, 44903, United States
ONTARIO, OH 449061267
Phone: (419) 756-9996
Type: Mailing
6316 W UNION HILLS DR STE 200
GLENDALE, AZ 853081001
Phone: (480) 905-8485
Type: Location
700 N COLUMBUS ST
CRESTLINE, OH 448271455
Phone: (419) 468-0522
Type: Mailing
715 RICHLAND MALL
ONTARIO, OH 449063802
Phone: (419) 756-9996
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $788.
Total Amount is formed as General ($788) + Research ($0) + Ownership ($0) = $788.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($255).
Total Amount
$788
General + Research + Ownership
Payments
32
Total payment records
General Amount
$788
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $255 |
| Lilly USA, LLC | $219 |
| Regeneron Healthcare Solutions, Inc. | $54 |
| LEO Pharma Inc. | $38 |
| Krystal Biotech Inc | $35 |
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: 2022-12-22
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 |
|---|---|---|---|---|
| I20221222001381 | I | General Practice | AZ | 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 |
|---|---|---|---|---|
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 58 | 56 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 13131 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm | 26 | 26 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 23 | 23 | $0 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 18 | 17 | $0 |
Insurance plans in this area (ZIP 44906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | TX | |
| General Practice | LA | |
| General Surgery, Internal Medicine, General Practice | TX | |
| General Surgery | CA | |
| General Surgery, General Practice | CA | |
| General Practice, General Surgery | CA | |
| General Surgery | VA | |
| Internal Medicine | CA | |
| Internal Medicine, General Surgery | MA | |
| Physician Assistant | CA |
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