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SARA BODENHAMER D.O.
NPI 1639598584
Family Medicine in Port Washington, WI

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
115 N SWEETWATER BLVD, PORT WASHINGTON, WI 53074(920) 476-6400 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 19, 2024, Jul 21, 2022, Aug 3, 2017 (3 updates tracked since 2017).

About Sara Bodenhamer D.o. NPPES

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

SARA BODENHAMER D.O. (NPI 1639598584) is an individual family medicine provider in Port Washington, Wisconsin, licensed in Wisconsin (64771) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2014).

NPPES Registry Identity

NPI1639598584
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSARA BODENHAMERCredential: D.O.
Location Address115 N SWEETWATER BLVDPort Washington, WI 53074-2657
Mailing Address115 N Sweetwater BlvdPort Washington, WI 53074-2657 · (920) 476-6400
Phone(920) 476-6400
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2014
Enumeration DateApril 8, 2014
Last NPPES UpdateMay 19, 20243 updates tracked since enumeration
NPPES CertifiedMay 19, 2024
✔ NPI 1639598584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 64771
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.
115 N SWEETWATER BLVD, Port Washington, WI 53074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Sara Bodenhamer D.o. 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 ID9436458700
PECOS Enrollment IDI20170808001907
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 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.
62 services50 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.
41 services40 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53074 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 2

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

HOLLY MARIE KEMPERS APNP
Nurse Practitioner
115 N SWEETWATER BLVD
PORT WASHINGTON, WI 53074
Ozaukee County (920) 476-6400
MR. KIP TYLER MENTZER M.D.
Family Medicine
115 N SWEETWATER BLVD
PORT WASHINGTON, WI 53074
Ozaukee County (920) 476-6400

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 Sara Bodenhamer's NPI number?

The NPI number for Sara Bodenhamer is 1639598584. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Sara Bodenhamer located?

Sara Bodenhamer practices at 115 N Sweetwater Blvd, Port Washington, WI 53074. The listed phone number is (920) 476-6400.

What is Sara Bodenhamer's specialty?

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

Is Sara Bodenhamer enrolled in Medicare?

Yes. Sara Bodenhamer 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 Sara Bodenhamer accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Sara Bodenhamer 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 Sara Bodenhamer affiliated with any hospitals?

According to CMS data, Sara Bodenhamer is affiliated with St Josephs Community Hospital West Bend.

When was this NPI record last updated?

The NPPES record for Sara Bodenhamer was last updated on May 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.