PHILIP J. BOSHA (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1710965116
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
440 SPORTS MEDICINE in PA
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Provider Addresses for PHILIP J. BOSHA (M.D.)
State College, Centre County, Pennsylvania, United States
SUITE 112
STATE COLLEGE, PA 168036706
Phone: (814) 865-3566
Fax: (814) 863-7803
Type: Location
PO BOX 858
MC A410
HERSHEY, PA 170330858
Phone: (800) 243-1455
Type: Mailing
143 HOSPITAL DR STE 112
STATE COLLEGE, PA 168035500
Phone: (814) 865-3566
Fax: (814) 863-7803
Type: Location
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: 2006-09-15
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 |
|---|---|---|---|---|
| I20060915000144 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 103 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 31 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 37 | 32 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 37 | 28 | $0 |
| 20550 | Injection into tendon or ligament | 28 | 23 | $0 |
Insurance plans in this area (ZIP 16803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | PA | |
| Vascular Surgery | MD | |
| O P H T H A L M O L O G Y | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | FL | |
| - | PA | |
| - | PA | |
| Emergency Medicine | PA | |
| Critical Care (Intensivists) | PA |
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