CMS-1500 Box 24J / 33a • NPI
1457642134
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207V00000X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
584 HOSPITAL DRIVE, SUITE B, BOLIVIA, NC, 28422-9047
✓ 9-Digit EDI 837 ZIP+4 (28422-9047)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1457642134 (NICHOLAS BARRETT BODENHEIMER, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1457642134)
Medicare Beneficiaries
178
Total Billed Services
840
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$34,831.63
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
96127 | Assessment of emotional or behavioral problems | 21 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 32 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 16 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 60 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 20 |
99459 | Pelvic exam | 49 |
G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 75 |
Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 49 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Clobetasol Propionate Clobetasol Propionate | 47 | 23 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 11 | <11 |
| Estradiol Estradiol | 102 | 38 |
| Estradiol (Twice Weekly) Estradiol | 14 | <11 |
| Estradiol-Norethindrone Acetat Estradiol/Norethindrone Acet | 12 | <11 |
| Fluconazole Fluconazole | 14 | 11 |
| Gemtesa Vibegron | 12 | <11 |
| Ibuprofen Ibuprofen | 14 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1457642134 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NICHOLAS BARRETT BODENHEIMER, DO |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 207V00000X (Obstetrics & Gynecology) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 584 HOSPITAL DRIVE, SUITE B, BOLIVIA, NC, 28422-9047 |
| Practice Telephone / Fax | Tel: (910) 721-4050 | Fax: (910) 721-4051 |
| Administrative Mailing Address | PO BOX 60447, CHARLOTTE, NC, 28260-0447 |
| Enumeration & Last Sync | Enumerated: 2011-04-28 | CMS Record Updated: 2020-10-25 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207V00000X)
What Does Taxonomy Code 207V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NICHOLAS BARRETT BODENHEIMER, DO)
Typical CPT / Diagnostic Procedures:- Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
- Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
- Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
- Prenatal Folic Acid, Iron & Progesterone Supplementation
- Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
- Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: NC | License: Verified | Primary: Secondary |
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: NC | License: 201500279 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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