DR. STEPHEN P BOGOSIAN M.D.
NPI 1689639940
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in De Witt, NY

Q: What is Stephen Bogosian's NPI number?

The NPI number for Stephen Bogosian is 1689639940. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Stephen Bogosian's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Bogosian was last updated on April 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment

5719 WIDEWATERS PKWY, DE WITT, NY 13214(315) 251-3100(315) 449-9923 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Stephen P Bogosian M.d. NPPES

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

DR. STEPHEN P BOGOSIAN M.D. (NPI 1689639940) is an individual adult reconstructive orthopaedic surgery provider in De Witt, New York, licensed in New York (158129) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1689639940

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. STEPHEN P BOGOSIANCredential: M.D.

Location Address5719 WIDEWATERS PKWYDe Witt, NY 13214-1880

Mailing Address5719 Widewaters PkwySyracuse, NY 13214-1880 · (315) 251-3100 · Fax (315) 449-9923

Phone(315) 251-3100

Fax(315) 449-9923

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateApril 19, 2006

Last NPPES UpdateApril 5, 2018

✔ NPI 1689639940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in NY · 158129

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 158129 (NY)

5719 WIDEWATERS PKWY, De Witt, NY 13214

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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

Dr. Stephen P Bogosian 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 ID8527972041

PECOS Enrollment IDI20100301000688

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 2

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.

18 services18 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

12 services12 patients

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Other Providers at the Same Location NPPES 20

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

JULIE HARTENSTEIN P.T.

Physical Therapist

5719 WIDEWATERS PKWY
DE WITT, NY 13214

Onondaga County (315) 449-1301

MATTHEW D HOOD P.A.

Physician Assistant (Surgical)