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DR. NICHOLAS BARRETT BODENHEIMER DO
NPI 1457642134
Obstetrics & Gynecology in Bolivia, NC

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment
584 HOSPITAL DRIVE, SUITE B, BOLIVIA, NC 28422(910) 721-4050(910) 721-4051 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicholas Barrett Bodenheimer Do NPPES

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

DR. NICHOLAS BARRETT BODENHEIMER DO (NPI 1457642134) is an individual obstetrics & gynecology provider in Bolivia, North Carolina, licensed in North Carolina (201500279) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1457642134
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. NICHOLAS BARRETT BODENHEIMERCredential: DO
Location Address584 HOSPITAL DRIVE, SUITE BBolivia, NC 28422-9047
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4050 · Fax (910) 721-4051
Phone(910) 721-4050
Fax(910) 721-4051
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 28, 2011
Last NPPES UpdateOctober 25, 2020
NPPES CertifiedSeptember 6, 2020
✔ NPI 1457642134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 201500279
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
584 HOSPITAL DRIVE, Bolivia, NC 28422
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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. Nicholas Barrett Bodenheimer 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 ID5395979579
PECOS Enrollment IDI20150630002191
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 Reassignment

Medicare enrollment records show Nicholas Bodenheimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group LLC
Same address
Obstetrics & Gynecology
584 HOSPITAL DR NE UNIT B
Bolivia, NC 28422
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1710051123 (North Carolina)
  • 2,998 clinicians in this Medicare group
NPI 1205884970 (910) 721-4050

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

Areas of Expertise CMS Part B claims 7

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
75 services75 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.
60 services44 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
49 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
21 services21 patients
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.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28422 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%52 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
40%47 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%117 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
64%44 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Nicholas Bodenheimer's NPI number?

The NPI number for Nicholas Bodenheimer is 1457642134. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Nicholas Bodenheimer located?

Nicholas Bodenheimer practices at 584 Hospital Drive Suite B, Bolivia, NC 28422. The listed phone number is (910) 721-4050.

What is Nicholas Bodenheimer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicholas Bodenheimer enrolled in Medicare?

Yes. Nicholas 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.

Which organization bills Medicare for Nicholas Bodenheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Bodenheimer reassigns Medicare benefits to Novant Health Medical Group LLC (Bolivia, NC). The 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 Nicholas Bodenheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Bodenheimer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Nicholas Bodenheimer 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 Nicholas Bodenheimer affiliated with any hospitals?

According to CMS data, Nicholas Bodenheimer is affiliated with Novant Health New Hanover Regional Medical Center and Novant Health Brunswick Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Bodenheimer was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.