DR. HENRY CABOT LODGE JR. BOHLER (M.D.) – Obesity Medicine (Obstetrics & Gynecology) Physician, NPI 1366475568
Obesity Medicine (Obstetrics & Gynecology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. HENRY CABOT LODGE JR. BOHLER (M.D.)
1009 N 3rd St
Bardstown, KY 400042616
Phone: (502) 373-0110
Type: Location
9412 CIVIC WAY APT 210
PROSPECT, KY 400595103
Phone: (502) 444-5767
Type: Mailing
909, Fountain Avenue, Louisville, Jefferson County, Kentucky, 40222, United States
LOUISVILLE, KY 402010909
Phone: (502) 588-0329
Fax: (502) 588-0326
Type: Mailing
UofL Physicians Outpatient Center, 401, East Chestnut Street, Louisville, Jefferson County, Kentucky, 40202, United States
SUITE 410
LOUISVILLE, KY 402025700
Phone: (502) 271-5999
Fax: (502) 271-5994
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Novo Nordisk Inc ($382).
Total Amount
$382
General + Research + Ownership
Payments
5
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $382 |
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: 2004-05-10
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 |
|---|---|---|---|---|
| I20040510000285 | I | Obstetrics/Gynecology | KY | 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 40004)
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