DR. ROBERT MARK BODENHAMER (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1366436693

DR. ROBERT MARK BODENHAMER (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in THORACIC SURGERY, CARDIAC SURGERY. They hold the professional credentials M.D.. They hold a License No. 12800 (OK). The NPI Number for DR. ROBERT MARK BODENHAMER (M.D.) is 1366436693

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT MARK BODENHAMER (M.D.)
NPI
1366436693
Phone
Not provided
Address
7800 NW 85TH TER
Enumeration Date
1 September 2005
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056083800
Graduation Year
1979 (47 years ago)
PAC ID
5496645582
Group Practice PAC ID
1759392079
Professional Enrollment ID
I20060614000294
Address ID
OK731208382OK4050XRDXX411

Contacts

Secure Messaging
mbodenhamer@direct.okheart.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

42 THORACIC SURGERY in OK

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Provider Addresses for DR. ROBERT MARK BODENHAMER (M.D.)

  • 7800, Northwest 85th Terrace, Oklahoma City, Oklahoma County, Oklahoma, 73132, United States

    OKLAHOMA CITY, OK 731323385

    Phone:

    Type: Mailing

  • West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    OKLAHOMA CITY, OK 731208382

    Phone: (405) 608-3800

    Fax: (405) 608-4768

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($162).

Total Amount

$319

General + Research + Ownership

Payments

2

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$162
ABIOMED$157
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: 2006-06-14

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
I20060614000294ICardiac SurgeryOKTBD

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
99204New patient office or other outpatient visit, 45-59 minutes6868$0
33508Harvest of vein using an endoscope5857$0
33533Coronary artery bypass using artery graft, 1 graft5252$0
33361Replacement of aortic valve through the skin and femoral artery3636$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 73132)

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Provider's Procedures

DR. ROBERT MARK BODENHAMER (M.D.) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYOK33518Combined multiple vein and artery heart artery bypasses1616
CARDIAC SURGERYOK33533Heart artery bypass to repair one artery5858

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: 1759392079View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryOK
-OK
-OK
Physician AssistantOK
Cardiovascular Disease (Cardiology), Interventional CardiologyOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
Interventional Pain Management, AnesthesiologyOK
Internal Medicine, Cardiovascular Disease (Cardiology)OK
-OK
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)OK

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Frequently asked questions

What number should I use to identify DR. ROBERT MARK BODENHAMER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1366436693 for DR. ROBERT MARK BODENHAMER (M.D.).
Should I treat DR. ROBERT MARK BODENHAMER (M.D.) as an active provider?
Patients and plans typically see DR. ROBERT MARK BODENHAMER (M.D.) as active in the national extract.
What does the directory say DR. ROBERT MARK BODENHAMER (M.D.) does?
Insurance directories may phrase it differently, but here DR. ROBERT MARK BODENHAMER (M.D.) maps to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ROBERT MARK BODENHAMER (M.D.)?
DR. ROBERT MARK BODENHAMER (M.D.) shows a connection to Oklahoma City, Oklahoma in registry-derived data.
Who maintains DR. ROBERT MARK BODENHAMER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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