William Franklin Bodenheimer III, M.D.
Individual provider Active NPI Family Medicine Physician · Boonsboro, MD
NPI 1427010354 · NPPES record last updated Sep 28, 2012
Key facts
- NPI
- 1427010354
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0056826 (MD)
- Practice address
- 9 Saint Paul St
Boonsboro, MD 21713-1334 - Phone
- (301) 432-0623
- Fax
- (301) 432-0624
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
9 Saint Paul St
Boonsboro, MD 21713-1334
Phone (301) 432-0623
Hospital & facility affiliations
- Home Call
- Hospice of Washington County, Inc
- Meritus Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 79.78
- Promoting interoperability
- 93.11
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041216000198 | MD | Practitioner - Family Practice | 7113984691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0056826 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Mountain Family Practice LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Meritus Medical Laboratory LLC | Past | Accepting new patients |
Locations
9 Saint Paul St
Ste 4
Boonsboro, MD 21713
9 Saint Paul St
Boonsboro, MD 21713
Phone (301) 381-4586
Interoperability endpoints
- dr.william.f.bodenheimer@southmountainfamilypractice.mountainside.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0056826 | MD | Yes |
Addresses
Primary practice location
9 Saint Paul St
Boonsboro, MD 21713-1334
Mailing address
9 Saint Paul Street
Boonsboro, MD 21713
Phone (301) 432-0623
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864001700 | Medicaid | MD |
Other providers in Boonsboro, MD
- Gordon D Bekedam
- Lisha Lynn Bikle
- Blanford Chiropractic Services, Inc
- James Anrew Blanford
- Heidi Bodenheimer
- Bodysense PT, LLC
- George Bolger
- Sharon Bolger
- Boonsboro Ambulance and Rescue Service Incorporated
- Boonsboro Dental Care, LLC
All providers in Boonsboro, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.