1. Home
  2. Directory
  3. Michigan
  4. Petoskey
  5. Internal Medicine
  6. NPI Profile

DR. AMY BODNARCHUK M.D.
NPI 1831445295
Internal Medicine in Petoskey, MI

Active since August 02, 2012Opted out of Medicare · through Jul 1, 2028
80.81/100
CMS Quality Rating
3890 CHARLEVOIX RD STE 307, PETOSKEY, MI 49770(231) 360-2496 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Dec 31, 2024, Mar 17, 2018, Nov 28, 2017 (3 updates tracked since 2017).

About Dr. Amy Bodnarchuk M.d. NPPES

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

DR. AMY BODNARCHUK M.D. (NPI 1831445295) is an individual internal medicine provider in Petoskey, Michigan, licensed in Michigan (4301510582) and active in the NPI registry since August 2012. She has opted out of Medicare through July 1, 2028 and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1831445295
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. AMY BODNARCHUKCredential: M.D.
Location Address3890 CHARLEVOIX RD STE 307Petoskey, MI 49770-8422
Mailing Address3890 Charlevoix Rd Ste 307Petoskey, MI 49770-8422 · (231) 360-2496
Phone(231) 360-2496
Sole ProprietorNo
Enumeration DateAugust 2, 2012
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1831445295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · 4301510582✔ Licensed in OH · 35.128368
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 251644 (MA)
3890 CHARLEVOIX RD STE 307, Petoskey, MI 49770
Open in Google Maps ↗

Secondary Practice Location 1

Location 1818 Red Dr Ste 100Traverse City, MI 49684-4729 · Phone (231) 333-1331

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Amy Bodnarchuk M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

80.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.19
Promoting Interoperability99
Improvement Activities40
Cost60.69

Other Providers at the Same Location NPPES

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

CAROLYN MARIE WIESE PA
Physician Assistant
3890 CHARLEVOIX RD STE 307
PETOSKEY, MI 49770
Emmet County (231) 674-3834

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 Amy Bodnarchuk's NPI number?

The NPI number for Amy Bodnarchuk is 1831445295. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Amy Bodnarchuk located?

Amy Bodnarchuk practices at 3890 Charlevoix Rd Ste 307, Petoskey, MI 49770. The listed phone number is (231) 360-2496.

What is Amy Bodnarchuk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amy Bodnarchuk enrolled in Medicare?

No. Amy Bodnarchuk has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amy Bodnarchuk was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.