MR. KYLE BONURA (PA-C) – Physician Assistant, NPI 1023466109
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. KYLE BONURA (PA-C)
1 RESERVOIR OFFICE PARK STE 110
SOUTHBURY, CT 064883926
Phone: (203) 262-9979
Fax: (203) 262-9917
Type: Location
Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States
NEW HAVEN, CT 065103220
Phone: (203) 785-4404
Fax: (203) 785-4580
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-09-26
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 |
|---|---|---|---|---|
| I20160926000479 | I | Physician Assistant | CT | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 70 | 67 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 59 | 58 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 28 | 27 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 06488)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | NY | |
| - | PA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | NH |
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