ANTHONY J BONITATIBUS (MD) – Allergy & Immunology Physician, NPI 1689606477
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11 ALLERGY/IMMUNOLOGY in AK
Provider Addresses for ANTHONY J BONITATIBUS (MD)
1001 NOBLE ST STE 1
FAIRBANKS, AK 997014991
Phone: (907) 458-2635
Type: Location
1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States
SUITE 1400
AUGUSTA, GA 309012602
Phone: (706) 421-1700
Fax: (706) 863-5418
Type: Mailing
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
AUGUSTA, GA 309120004
Phone: (706) 724-6100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $2,363.
Total Amount is formed as General ($2,363) + Research ($0) + Ownership ($0) = $2,363.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($572).
Total Amount
$2,363
General + Research + Ownership
Payments
98
Total payment records
General Amount
$2,363
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $572 |
| GlaxoSmithKline, LLC. | $435 |
| Amgen Inc. | $286 |
| Grifols USA, LLC | $150 |
| BioCryst US Sales Co., LLC | $144 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210126000836 | I | Allergy/Immunology | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,607 | 38 | $0 |
| 95117 | Professional service for multiple injections of allergen | 119 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 99701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| A N E S T H E S I O L O G Y | MD | |
| P S Y C H I A T R Y | WA | |
| H O S P I T A L I S T | CA | |
| Emergency Medicine | AK | |
| U R O L O G Y | AK | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Family Practice | AK | |
| - | AK |
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