DANA J. BODDORF (AU.D.) – Audiologist, NPI 1962666586

DANA J. BODDORF (AU.D.) is a healthcare provider. based in Bellefonte, Pennsylvania. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. AT-000990-L (PA). The NPI Number for DANA J. BODDORF (AU.D.) is 1962666586

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DANA J. BODDORF (AU.D.)
NPI
1962666586
Phone
(814) 769-0840
Address
805 E HIGH ST
Enumeration Date
13 July 2008
Last Update Date
3 June 2016

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8022184514
Group Practice PAC ID
0042501744
Professional Enrollment ID
I20080908000083
Address ID
PA168016300ST233XXPKWY303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

478 QUALIFIED AUDIOLOGIST in PA

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Provider Addresses for DANA J. BODDORF (AU.D.)

  • 805 East High Street, East High Street, East End, Bellefonte, Centre County, Pennsylvania, 16823, United States

    BELLEFONTE, PA 168232305

    Phone: (814) 769-0840

    Type: Mailing

  • 233 Easterly Parkway, Easterly Parkway, Highlands Historical District, State College, Centre County, Pennsylvania, 16801, United States

    STE 102

    STATE COLLEGE, PA 168016300

    Phone: (814) 867-4327

    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: 2008-09-08

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
I20080908000083IQualified AudiologistPATBD

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
92557Comprehensive hearing and speech recognition test166165$0
View full utilization report →

Insurance plans in this area (ZIP 16823)

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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: 0042501744View full group profile
NameSpecialtyState
-MA
Qualified AudiologistPA

Reviews

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Frequently asked questions

What number should I use to identify DANA J. BODDORF (AU.D.) for billing?
Administrative and clinical systems typically use NPI 1962666586 for DANA J. BODDORF (AU.D.).
Should I treat DANA J. BODDORF (AU.D.) as an active provider?
Patients and plans typically see DANA J. BODDORF (AU.D.) as active in the national extract.
What type of care does DANA J. BODDORF (AU.D.) provide?
DANA J. BODDORF (AU.D.)'s profile centers on Audiologist. Clinical services aligned with this taxonomy classification.
Can patients visit DANA J. BODDORF (AU.D.) in Bellefonte, Pennsylvania?
For routing, start with Bellefonte, Pennsylvania for DANA J. BODDORF (AU.D.), then verify phone and hours locally.
Why is information missing for DANA J. BODDORF (AU.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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