DR. GARY BODOFSKY O.D.
NPI 1639148554
Optometrist in Surfside Beach, SC

Active since March 14, 2006PECOS Enrolled
2014 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575(843) 238-2020(843) 238-4443 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Bodofsky O.d. NPPES

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

DR. GARY BODOFSKY O.D. (NPI 1639148554) is an individual optometrist in Surfside Beach, South Carolina, licensed in South Carolina (764) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1984).

NPPES Registry Identity

NPI1639148554
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY BODOFSKYCredential: O.D.
Location Address2014 HIGHWAY 17 NSurfside Beach, SC 29575-6072
Mailing Address2014 Highway 17 NSurfside Beach, SC 29575-6072 · (843) 238-2020 · Fax (843) 238-4443
Fax(843) 238-4443
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1984
Enumeration DateMarch 14, 2006
Last NPPES UpdateNovember 5, 2015
NPI 1639148554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in SC · 764
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2014 HIGHWAY 17 N, Surfside Beach, SC 29575

Other Identifiers 9

Other571062888SC · Cigna, Ppo
Other571062888SC · Aetna
OtherSC07890281SC · Medicare Ptan
Other571062888SC · United Health Care
Medicare PINSC07890281SC
MedicaidD00764SC
Other571062888SC · Medcost
Other571062888SC · Bcbs Of Sc
Medicare UPINT23656SC

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 (PECOS)

Dr. Gary Bodofsky O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517988777
PECOS Enrollment IDI20120912000850
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 3

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.
35 services19 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
18 services17 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29575 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES

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

Optometrist
2014 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575

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 Gary Bodofsky's NPI number?

The NPI number for Gary Bodofsky is 1639148554. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Gary Bodofsky located?

Gary Bodofsky practices at 2014 Highway 17 N, Surfside Beach, SC 29575. The listed phone number is (843) 238-2020.

What is Gary Bodofsky's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gary Bodofsky enrolled in Medicare?

Yes. Gary Bodofsky is registered in the Medicare PECOS enrollment system.

What insurance does Gary Bodofsky accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Gary Bodofsky 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.

When was this NPI record last updated?

The NPPES record for Gary Bodofsky was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.