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JASON KRISTOPHER BODNER PA-C
NPI 1801819040
Physician Assistant in Winston Salem, NC

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
140 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 245-2100(336) 768-7782 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Kristopher Bodner Pa-c NPPES

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

JASON KRISTOPHER BODNER PA-C (NPI 1801819040) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-04142) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2000).

NPPES Registry Identity

NPI1801819040
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASON KRISTOPHER BODNERCredential: PA-C
Location Address140 KIMEL PARK DRWinston Salem, NC 27103-6160
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 245-2100 · Fax (336) 768-7782
Phone(336) 245-2100
Fax(336) 768-7782
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2000
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 6, 2017
✔ NPI 1801819040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-04142
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
140 KIMEL PARK DR, Winston Salem, NC 27103
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Other Identifiers 2

Medicare PINNCB775ANC
Medicaid8103258NC

Accepted Insurance

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

Jason Kristopher Bodner Pa-c 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 ID9436188737
PECOS Enrollment IDI20130507000436
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
161 services136 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.
40 services38 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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
74%35 patients3/55-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
59%63 patients3/55-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…
67%73 patients3/55-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
58%31 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
51%35 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier17 claims17 services$18.59 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims230 services$36.08 avg. paid by Medicare
Injection, ganciclovir sodium, 500 mg J1570
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier17 claims114 services$37.12 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
10 suppliers358 claims163,080 services$1.19 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
15 suppliers226 claims30,945 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers330 claims49,235 services$0.01 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 11

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

DR. ALLSTON JULIUS STUBBS M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
DR. GEORGE BURGWYN NEWSOME M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
DR. FREDERICK LAWRENCE HOWELL M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
CAROLINA UROLOGICAL ASSOCIATES, P.A.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
MS. MONIQUE SHERAN HOWLETT RN
Nurse Practitioner
140 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
BREANNA MARIE LOPEZ LCSW
Social Worker (Clinical)
140 KIMEL PARK DR, STE 200
WINSTON-SALEM, NC 27103
Forsyth County (336) 718-7250
DR. CHARLES FREDRIC REID M.D.
Urology
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100
CHARLES JEFFREY BEACH PA
Physician Assistant
140 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 245-2100

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 Jason Bodner's NPI number?

The NPI number for Jason Bodner is 1801819040. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Jason Bodner located?

Jason Bodner practices at 140 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (336) 245-2100.

What is Jason Bodner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jason Bodner enrolled in Medicare?

Yes. Jason Bodner 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 Jason Bodner accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Jason Bodner 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 Jason Bodner affiliated with any hospitals?

According to CMS data, Jason Bodner is affiliated with Duke University Hospital, Carolinas Medical Center/Behav Health and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jason Bodner was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.