Fred S Bodker, MD

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

04-25774 Issued in KS

Practice address

7504 Antioch Rd
Overland Park, KS 66204-2622

Phone

(913) 341-3100

Fax

(913) 341-6818

NPI assigned

Oct 5, 2005

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Johns Hopkins University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Eye Clinic, P.a.Group PAC ID 0143206102, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.59 of 100Reported as group

Quality

96.44

Improvement activities

40

Cost

76.71

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fbodker@kceyeclinic.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas City Eye Clinic, P.a.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1063622124

  Ophthalmic Plastic and Reconstructive Surgery

  Medicare reassignment Care Compare group NPD
• Kansas City Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1174197990
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1417944208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803861",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803861",
            "telephone_number": "913-341-3100",
            "fax_number": "913-341-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042622",
            "telephone_number": "913-341-3100",
            "fax_number": "913-341-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODKER",
        "first_name": "FRED",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "KS",
            "license": "04-25774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180022395",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Boan, LPC
• Mirian Boci, M.D.
• David B Bock, MD
• Barbara Hilmes Bodanske, RPH PHARMD
• Abby Bodenhausen, DPT
• Body Basics Chiropractic LLC
• Body Guitar, LLC (Body Guitar Clinic)
• Body Logic LLC
• Body Synergy Wellness Center
• Dakota Jane Boehler

• Ophthalmic Plastic and Reconstructive Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.