DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS) – Colon & Rectal Surgery Physician, NPI 1154632388

DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS) is a healthcare provider. based in Danville, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials MD, FACS, FASCRS. They hold a License No. MD457834 (PA). The NPI Number for DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS) is 1154632388

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)
NPI
1154632388
Phone
(570) 271-6144
Address
100 N ACADEMY AVE
Enumeration Date
22 June 2010
Last Update Date
31 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109694470
Graduation Year
2010 (16 years ago)
PAC ID
1850607714
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20160913002282
Address ID
PA181045049AL401XXSTXX402
Telehealth
Yes

Contacts

Secure Messaging
bprotyniak137122@direct.geisinger.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,999 GENERAL SURGERY in PA

Provider Addresses for DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)

  • 100 N ACADEMY AVE

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

  • 1000 EAST MOUNTAIN BLVD

    MC: 37-62

    WILKES-BARRE, PA 18711

    Phone: (570) 808-2340

    Fax: (570) 808-7904

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $148,901.

Total Amount is formed as General ($148,901) + Research ($0) + Ownership ($0) = $148,901.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($148,194).

Total Amount

$148,901

General + Research + Ownership

Payments

149

Total payment records

General Amount

$148,901

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2016-09-13

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
I20160913002282IGeneral SurgeryPATBD

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
99203New patient office or other outpatient visit, 30-44 minutes3232$0
99213Established patient office or other outpatient visit, 20-29 minutes2923$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99205New patient office or other outpatient visit, 60-74 minutes2323$0
45380Biopsy of large bowel using a flexible endoscope2121$0
View full utilization report →

Insurance plans in this area (ZIP 17822)

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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: 3072425123View full group profile

Reviews

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Frequently asked questions

What is DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)'s NPI number?
DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)'s NPI is 1154632388 — the number used across U.S. healthcare to identify this provider.
Is DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS) still an active registrant?
DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS) carries an active NPI according to the public dataset.
What expertise is attributed to DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)?
DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)'s specialty line reads Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)?
Travel planning: use Danville, Pennsylvania as the reference point for DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS), then confirm.
Can I trust this NPI listing for DR. BOGDAN PROTYNIAK (MD, FACS, FASCRS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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