DR. WILLIAM TODD BOHANNON (M.D.) – Vascular Surgery Physician, NPI 1023077864

DR. WILLIAM TODD BOHANNON (M.D.) is a healthcare provider. based in Temple, Texas. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. J8466 (TX). The NPI Number for DR. WILLIAM TODD BOHANNON (M.D.) is 1023077864

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM TODD BOHANNON (M.D.)
NPI
1023077864
Phone
(254) 724-2111
Address
2401 S 31ST ST
Enumeration Date
21 March 2006
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
2547242459
Graduation Year
1994 (32 years ago)
PAC ID
1254314834
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20040612000783
Address ID
TX765080001TE2401XSTXX400

Contacts

Secure Messaging
wbohannon14040@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

492 VASCULAR SURGERY in TX

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Provider Addresses for DR. WILLIAM TODD BOHANNON (M.D.)

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (800) 994-0371

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,042.

Total Amount is formed as General ($1,042) + Research ($0) + Ownership ($0) = $1,042.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($337).

Total Amount

$1,042

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,042

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2004-06-12

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
I20040612000783IVascular SurgeryTXTBD

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
93923Complete ultrasound study of arm and leg arteries124118$0
93880Ultrasound of both sides of head and neck blood flow107101$0
99214Established patient office or other outpatient visit, 30-39 minutes10576$0
93922Ultrasound study of arm and leg arteries6257$0
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts3129$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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Provider's Procedures

DR. WILLIAM TODD BOHANNON (M.D.) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYTX93926Ultrasound study of arteries and arterial grafts of one leg or limited2019
VASCULAR SURGERYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers5348

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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What federal number belongs to DR. WILLIAM TODD BOHANNON (M.D.)?
The federal identifier for DR. WILLIAM TODD BOHANNON (M.D.) is NPI 1023077864.
Is DR. WILLIAM TODD BOHANNON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. WILLIAM TODD BOHANNON (M.D.)?
The page reflects Vascular Surgery Physician for DR. WILLIAM TODD BOHANNON (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. WILLIAM TODD BOHANNON (M.D.) practice in Texas?
You will see Temple, Texas on file for DR. WILLIAM TODD BOHANNON (M.D.) alongside any extra practice locations.
What if Temple, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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