MR. BRIAN KEITH BONOMO (PAC) – Physician Assistant, NPI 1124012596
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. BRIAN KEITH BONOMO (PAC)
525 N DACIE PT
LECANTO, FL 344618399
Phone: (352) 746-2200
Fax: (352) 746-9320
Type: Mailing
4651 VAN DYKE RD
LUTZ, FL 335584880
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 516 Open Payments records for all available years, with a total value of $283,014.
Total Amount is formed as General ($281,654) + Research ($1,360) + Ownership ($0) = $283,014.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($137,450).
Total Amount
$283,014
General + Research + Ownership
Payments
516
Total payment records
General Amount
$281,654
General payments
Research Amount
$1,360
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $137,450 |
| UCB, Inc. | $53,651 |
| Regeneron Healthcare Solutions, Inc. | $34,203 |
| E.R. Squibb & Sons, L.L.C. | $29,007 |
| Lilly USA, LLC | $9,558 |
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: 2010-08-12
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 |
|---|---|---|---|---|
| I20100812001044 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,987 | 731 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,850 | 1,853 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,555 | 1,055 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 825 | 672 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 357 | 74 | $0 |
Insurance plans in this area (ZIP 34461)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 17003 | Destruction of 2-14 skin growths | 5151 | 1056 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Nurse Practitioner | FL |
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