DR. MARCUS BOSENBERG (M.D., PH.D.) – Dermatopathology (Pathology) Physician, NPI 1679595094
Dermatopathology (Pathology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1 UNDEFINED PHYSICIAN TYPE (SPECIFY) in VT
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Provider Addresses for DR. MARCUS BOSENBERG (M.D., PH.D.)
460, Martel Lane, Saint George, Chittenden County, Vermont, 05495, United States
ST GEORGE, VT 054957087
Phone: (802) 878-0917
Type: Mailing
University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 054011473
Phone: (802) 847-9447
Fax: (802) 847-9644
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.
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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: 2008-07-25
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 |
|---|---|---|---|---|
| I20080725000303 | I | Dermatopathology | CT | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 12 | 11 | $0 |
Insurance plans in this area (ZIP 05495)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| H E M A T O L O G Y/ O N C O L O G Y | CT | |
| Internal Medicine, Nephrology | SC | |
| - | CT | |
| - | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | SC | |
| Internal Medicine | CT | |
| - | CT | |
| Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists) | CT | |
| Cardiac Surgery | CT |
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