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DR. MICHAEL STEPHEN BOGARD DO
NPI 1114412939
Orthopaedic Surgery - Sports Medicine in San Diego, CA

Active since June 25, 2018PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2350542 · Waiver
8929 UNIVERSITY CENTER LN STE 210, SAN DIEGO, CA 92122(858) 703-1000(858) 703-1001 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2026, May 23, 2025, Dec 19, 2024 and 5 more (8 updates tracked since 2018).

About Dr. Michael Stephen Bogard Do NPPES

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

DR. MICHAEL STEPHEN BOGARD DO (NPI 1114412939) is an individual sports medicine provider in San Diego, California, licensed in California (20A17716) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 9, 2028, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2018).

NPPES Registry Identity

NPI1114412939
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. MICHAEL STEPHEN BOGARDCredential: DO
Location Address8929 UNIVERSITY CENTER LN STE 210San Diego, CA 92122-1054
Mailing AddressPo Box 13061La Jolla, CA 92039-3061 · (714) 465-7064 · Fax (858) 703-1001
Phone(858) 703-1000
Fax(858) 703-1001
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateApril 7, 20268 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1114412939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · 20A17716
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
8929 UNIVERSITY CENTER LN STE 210, San Diego, CA 92122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Stephen Bogard Do 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 ID1850832957
PECOS Enrollment IDI20241015000268
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Bogard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michael Bogard, Do PC
Same address
Sports Medicine
8929 UNIVERSITY CENTER LN STE 210
San Diego, CA 92122
  • Reassigned Medicare billing, California enrollment
NPI 1578397386 (858) 703-1000
Damion J Valletta Do Professional Corporation
6.3 mi
Sports Medicine
7625 MESA COLLEGE DR STE 320A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1578599981 (858) 524-7000
Emergency And Acute Care Medical Corporation
6.4 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2350542

Michael Bogard Do PC · San Diego, CA
Active · expires Sep 9, 2028
CLIA Number05D2350542
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2026
Certificate Expiration DateSeptember 9, 2028
Laboratory DirectorMona K. Hacker
Laboratory Phone(858) 539-1184
Laboratory LocationMichael Bogard Do PC8929 University Center Lane Suite 210, San Diego, CA 92122
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MICHAEL BOGARD, DO PC
Orthopaedic Surgery (Sports Medicine)
8929 UNIVERSITY CENTER LN STE 210
SAN DIEGO, CA 92122
San Diego County (858) 703-1000

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 Michael Bogard's NPI number?

The NPI number for Michael Bogard is 1114412939. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Michael Bogard located?

Michael Bogard practices at 8929 University Center Ln Ste 210, San Diego, CA 92122. The listed phone number is (858) 703-1000.

What is Michael Bogard's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Michael Bogard enrolled in Medicare?

Yes. Michael Bogard 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.

Which organizations bill Medicare for Michael Bogard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bogard reassigns Medicare benefits to 3 organizations: Michael Bogard, Do PC (San Diego, CA), Damion J Valletta Do Professional Corporation (San Diego, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Bogard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Michael Bogard hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2350542) is associated with this NPI, valid through September 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael Bogard was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.