BRADLEY T BODNER PA-C
NPI 1093767808
Physician Assistant - Surgical in Wausau, WI

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
2800 WESTHILL DR, SUITE 200, WAUSAU, WI 54401(715) 843-1000 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley T Bodner Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY T BODNER PA-C (NPI 1093767808) is an individual surgical provider in Wausau, Wisconsin, licensed in Wisconsin (1312-023) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Weston, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1093767808
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRADLEY T BODNERCredential: PA-C
Location Address2800 WESTHILL DR, SUITE 200Wausau, WI 54401-3771
Mailing Address2800 Westhill Drive, Suite 200Wausau, WI 54402-3770 · (715) 843-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
NPI 1093767808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WI · 1312-023
2800 WESTHILL DR, Wausau, WI 54401

Secondary Practice Location 1

Location 11000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511

Other Identifiers 1

Medicaid41923000WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bradley T Bodner Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880605294
PECOS Enrollment IDI20060524000150
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
2800 WESTHILL DR, STE 200
WAUSAU, WI 54401
Physician Assistant
2800 WESTHILL DR, STE 200
WAUSAU, WI 54401
Dentist (General Practice)
2800 WESTHILL DR, S-104
WAUSAU, WI 54401
Physician Assistant
2800 WESTHILL DR
WAUSAU, WI 54401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Bodner's NPI number?

The NPI number for Bradley Bodner is 1093767808. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Bradley Bodner located?

Bradley Bodner practices at 2800 Westhill Dr Suite 200, Wausau, WI 54401. The listed phone number is (715) 843-1000.

What is Bradley Bodner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bradley Bodner enrolled in Medicare?

Yes. Bradley Bodner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Bodner accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Bradley Bodner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bradley Bodner affiliated with any hospitals?

According to CMS data, Bradley Bodner is affiliated with Marshfield Medical Center - Weston.

When was this NPI record last updated?

The NPPES record for Bradley Bodner was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.