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WILLIAM FRANKLIN BODENHEIMER III M.D.
NPI 1427010354
Family Medicine in Boonsboro, MD

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
9 SAINT PAUL ST, BOONSBORO, MD 21713(301) 432-0623(301) 432-0624 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Franklin Bodenheimer Iii M.d. NPPES

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

WILLIAM FRANKLIN BODENHEIMER III M.D. (NPI 1427010354) is an individual family medicine provider in Boonsboro, Maryland, licensed in Maryland (D0056826) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and is a graduate of Temple University School Of Medicine (1994).

NPPES Registry Identity

NPI1427010354
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM FRANKLIN BODENHEIMER IIICredential: M.D.
Location Address9 SAINT PAUL STBoonsboro, MD 21713-1334
Mailing Address9 Saint Paul StreetBoonsboro, MD 21713 · (301) 432-0623 · Fax (301) 432-0765
Phone(301) 432-0623
Fax(301) 432-0624
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1994
Enumeration DateApril 5, 2006
Last NPPES UpdateSeptember 28, 2012
✔ NPI 1427010354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0056826
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9 SAINT PAUL ST, Boonsboro, MD 21713
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Other Identifiers 3

Medicare UPING90193
Medicaid864001700MD
Medicare ID-Type Unspecified037NMD

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

William Franklin Bodenheimer Iii M.d. 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 ID7113984691
PECOS Enrollment IDI20041216000198
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
731 services379 patients
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.
555 services246 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
263 services256 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
241 services241 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
135 services134 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 patients

Hospital Affiliations CMS Care Compare

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.12
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers86 claims207 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers29 claims32 services$1.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$95.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers32 claims35 services$34.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$57.10 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers23 claims23 services$19.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MEGHAN REDDING
Student in an Organized Health Care Education/Training Program
9 SAINT PAUL ST
BOONSBORO, MD 21713
Washington County (240) 527-5351
REBECCA TARGOFF FNP-BC
Nurse Practitioner (Family)
9 SAINT PAUL ST, 2ND FLOOR
BOONSBORO, MD 21713
Washington County (301) 432-6897
HEIDI BODENHEIMER NBHWC HEALTH COACH
Health and Wellness Coach
9 SAINT PAUL ST
BOONSBORO, MD 21713
Washington County (301) 991-9892
SOUTH MOUNTAIN FAMILY PRACTICE LLC
Clinic/Center
9 SAINT PAUL ST
BOONSBORO, MD 21713
Washington County (301) 432-0623
PODIATRY ASSOCIATES PA
Podiatrist
9 SAINT PAUL ST, 2ND FLOOR
BOONSBORO, MD 21713
Washington County (410) 879-1212
MS. KELLY ANN FLEMMING PTA
Physical Therapy Assistant
9 SAINT PAUL ST, 3RD FLOOR
BOONSBORO, MD 21713
Washington County (301) 432-8585
LIFE FITNESS PHYSICAL THERAPY OF BOONSBORO
Physical Therapist
9 SAINT PAUL ST, 3RD FLOOR
BOONSBORO, MD 21713
Washington County (301) 432-6966

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 William Bodenheimer's NPI number?

The NPI number for William Bodenheimer is 1427010354. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is William Bodenheimer located?

William Bodenheimer practices at 9 Saint Paul St, Boonsboro, MD 21713. The listed phone number is (301) 432-0623.

What is William Bodenheimer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Bodenheimer enrolled in Medicare?

Yes. William Bodenheimer 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.

Is William Bodenheimer affiliated with any hospitals?

According to CMS data, William Bodenheimer is affiliated with Meritus Medical Center.

When was this NPI record last updated?

The NPPES record for William Bodenheimer was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.