NPIMap

Individual provider Active NPI

Lance Bodily, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1447679485
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD469561 Issued in PA
Practice address
5750 Centre Ave Ste 230
Pittsburgh, PA 15206-3761
Phone
(412) 681-4220
Fax
(412) 681-4396
NPI assigned
Apr 7, 2014
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 469561 PA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD469561 PA Primary

Addresses

Primary practice location

5750 Centre Ave Ste 230
Pittsburgh, PA 15206-3761

Mailing address

5750 Centre Ave Ste 230
Pittsburgh, PA 15206-3761
Phone (412) 681-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000007 PA Practitioner - Ophthalmology 3577864255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Oculoplastic Associates, LTDGroup PAC ID 3678512035, 6 clinicians

Practice addresses (Care Compare)

5750 Centre Ave
Suite 230
Pittsburgh, PA 15206-3761
Phone (412) 681-4220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
469561PAMDOphthalmology Physician
MD469561PAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Oculoplastic Associates, LTD Ophthalmic Plastic and Reconstructive Surgery CurrentSince Jul 20, 2020 Accepting new patients

Locations

575 Coal Valley Rd
Ste 204
Clairton, PA 15025
Phone (412) 466-2220

128 W 12th St
Ste 301
Erie, PA 16501
Phone (814) 454-6307

5855 Steubenville Pike
Ste 200
Mc Kees Rocks, PA 15136
Phone (412) 490-2500

5750 Centre Ave
Ste 230
Pittsburgh, PA 15206
Phone (412) 450-1000

6001 Stonewood Dr
Ste 304
Wexford, PA 15090

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70731

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1447679485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVE STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063761",
            "telephone_number": "412-681-4220",
            "fax_number": "412-681-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVE STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063761",
            "telephone_number": "412-681-4220",
            "fax_number": "412-681-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODILY",
        "first_name": "LANCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "469561",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD469561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.