BILL GARRETT BODINE (M.D.) – Anesthesiology Physician, NPI 1154852754

BILL GARRETT BODINE (M.D.) is a healthcare provider. based in Medford, Oregon. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 10955746-1205 (UT). The NPI Number for BILL GARRETT BODINE (M.D.) is 1154852754

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BILL GARRETT BODINE (M.D.)
NPI
1154852754
Phone
(541) 773-7273
Address
PO BOX 1705
Enumeration Date
24 March 2017
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
5417737273
Graduation Year
2017 (9 years ago)
PAC ID
9032462692
Group Practice PAC ID
5597750323
Professional Enrollment ID
I20210526002333
Address ID
OR975046130ME1093XCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

867 ANESTHESIOLOGY in OR

Provider Addresses for BILL GARRETT BODINE (M.D.)

  • PO BOX 1705

    MEDFORD, OR 975010132

    Phone: (541) 773-7273

    Fax: (541) 773-2027

    Type: Mailing

  • 1093 ROYAL CT

    MEDFORD, OR 975046130

    Phone: (541) 773-7273

    Fax: (541) 773-2027

    Type: Location

  • 30 N 1900 E RM 3C444

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-2121

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-05-26

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
I20210526002333IAnesthesiologyORTBD

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
00142Anesthesia for lens surgery8282$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3535$0
00811Anesthesia for other procedure on large bowel using an endoscope2929$0
00790Anesthesia for other procedure on upper abdomen1818$0
36620Insertion of artery tube for blood sampling or infusion through skin1616$0
View full utilization report →

Insurance plans in this area (ZIP 97501)

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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: 5597750323View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YNC
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What unique ID ties claims to BILL GARRETT BODINE (M.D.)?
NPI 1154852754 is assigned to BILL GARRETT BODINE (M.D.) under the national enumeration system.
Is BILL GARRETT BODINE (M.D.)'s NPI currently valid?
The extract we use shows BILL GARRETT BODINE (M.D.) as active.
Can you summarize BILL GARRETT BODINE (M.D.)'s specialty in plain language?
Clinically, the directory lists BILL GARRETT BODINE (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BILL GARRETT BODINE (M.D.)?
The snapshot lists Medford, Oregon for BILL GARRETT BODINE (M.D.); download NPPES for the complete set.
Is BILL GARRETT BODINE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1154852754. Always confirm identity and privileges with the practice and licensing boards.

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