KENNETH SPENCER BODE (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1710100045
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
Provider Addresses for KENNETH SPENCER BODE (MD)
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Phone: (210) 916-5586
Fax: (210) 916-5102
Type: Location
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344504
Phone: (210) 916-5586
Fax: (210) 916-5102
Type: Location
3619 Paesanos Pkwy Ste 302
San Antonio, TX 782311259
Phone: (210) 802-4662
Type: Location
6301 HARRIS PKWY STE 200
FORT WORTH, TX 761324265
Phone: (817) 433-3450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $8,611.
Total Amount is formed as General ($8,611) + Research ($0) + Ownership ($0) = $8,611.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Highridge Medical LLC ($1,838).
Total Amount
$8,611
General + Research + Ownership
Payments
71
Total payment records
General Amount
$8,611
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Highridge Medical LLC | $1,838 |
| Medtronic, Inc. | $1,563 |
| Mission Medical Distribution, LLC | $1,424 |
| ZIMVIE INC. | $1,292 |
| Arthrex, Inc. | $725 |
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: 2023-06-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230612000607 | I | Orthopedic Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
Reviews
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