DR. CORY J. BOSANKO (O.D.) – Low Vision Rehabilitation Optometrist, NPI 1730180704

DR. CORY J. BOSANKO (O.D.) is a healthcare provider. based in Crossville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD0000002541 (TN). The NPI Number for DR. CORY J. BOSANKO (O.D.) is 1730180704

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORY J. BOSANKO (O.D.)
NPI
1730180704
Phone
(931) 484-3344
Address
39 LANTANA RD
Enumeration Date
2 August 2005
Last Update Date
22 January 2021

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9314843344
Graduation Year
2004 (22 years ago)
PAC ID
3274561170
Group Practice PAC ID
5294757985
Professional Enrollment ID
I20050802000179
Address ID
TN385554901CR39XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. CORY J. BOSANKO (O.D.)

  • 39 LANTANA RD

    CROSSVILLE, TN 385554901

    Phone: (931) 484-3344

    Fax: (931) 456-3671

    Type: Mailing

  • 15, Iris Lane, Lynwood Acres, Crossville, Cumberland County, Tennessee, 38555, United States

    CROSSVILLE, TN 385557528

    Phone: (931) 456-2728

    Fax: (931) 456-5446

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $452.

Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: RxSight Inc ($118).

Total Amount

$452

General + Research + Ownership

Payments

14

Total payment records

General Amount

$452

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-08-02

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
I20050802000179IOptometryTNTBD

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
92014Established patient complete exam of visual system1,1061,078$0
83861Microfluid analysis of tears314145$0
92134Imaging of retina251236$0
99213Established patient office or other outpatient visit, 20-29 minutes243218$0
92133Imaging of optic nerve161158$0
View full utilization report →

Insurance plans in this area (ZIP 38555)

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Provider's Procedures

DR. CORY J. BOSANKO (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTN92012Eye and medical examination for diagnosis and treatment, established patient3838

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: 5294757985View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P T O M E T R YTN

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Frequently asked questions

What number should I use to identify DR. CORY J. BOSANKO (O.D.) for billing?
Administrative and clinical systems typically use NPI 1730180704 for DR. CORY J. BOSANKO (O.D.).
Quick check: is DR. CORY J. BOSANKO (O.D.) active?
Public NPPES data shows DR. CORY J. BOSANKO (O.D.) with an active NPI status right now.
What services align with DR. CORY J. BOSANKO (O.D.)'s listing?
DR. CORY J. BOSANKO (O.D.)'s public classification highlights Low Vision Rehabilitation Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CORY J. BOSANKO (O.D.)?
The directory associates DR. CORY J. BOSANKO (O.D.) with Crossville, Tennessee. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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