MICHAEL BONIELLO (M.D., M.SC.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1023469293
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 SPORTS MEDICINE in CT
Provider Addresses for MICHAEL BONIELLO (M.D., M.SC.)
1111 CROMWELL AVE STE 404
ROCKY HILL, CT 060673455
Phone: (860) 525-4469
Type: Location
130, Spruce Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19106, United States
2A
PHILADELPHIA, PA 191064319
Phone: (914) 275-6462
Type: Mailing
3, Cooper Plaza, Lanning Square, Camden, Camden County, New Jersey, 08103, United States
SUITE 408
CAMDEN, NJ 081031438
Phone: (800) 826-6737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2023-03-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($99).
Total Amount
$99
General + Research + Ownership
Payments
1
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $99 |
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: 2022-08-24
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 |
|---|---|---|---|---|
| I20220824001945 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 400 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 189 | 124 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 80 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 60 | 60 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 50 | 39 | $0 |
Insurance plans in this area (ZIP 06067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CT | |
| P O D I A T R Y | NJ | |
| Physician Assistant | MA | |
| Physician Assistant | NC | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Orthopedic Surgery | CT | |
| Physician Assistant | CT |
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