SAMANTHA MARIA BONO (PA-C) – Physician Assistant, NPI 1336424530
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for SAMANTHA MARIA BONO (PA-C)
1250 S Tamiami Trl Ste 304
Sarasota, FL 342392221
Phone: (941) 263-2988
Fax: (941) 296-8501
Type: Location
PO BOX 494910
COASTAL DERMATOLOGY
PORT CHARLOTTE, FL 339494910
Phone: (941) 613-2400
Fax: (941) 613-2401
Type: Mailing
1617 TAMIAMI TRL
COASTAL DERMATOLOGY
PORT CHARLOTTE, FL 339481040
Phone: (941) 613-2400
Fax: (941) 613-2401
Type: Location
4411 BEE RIDGE RD # 309
SARASOTA, FL 342332514
Phone: (419) 266-5539
Fax: (941) 296-8501
Type: Mailing
3105 BOBCAT VILLAGE CENTER RD
NORTH PORT, FL 342888974
Phone: (941) 271-0021
Fax: (941) 296-8501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $845.
Total Amount is formed as General ($845) + Research ($0) + Ownership ($0) = $845.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($231).
Total Amount
$845
General + Research + Ownership
Payments
34
Total payment records
General Amount
$845
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $231 |
| Lilly USA, LLC | $149 |
| Incyte Corporation | $95 |
| Novartis Pharmaceuticals Corporation | $54 |
| Amgen Inc. | $52 |
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: 2012-01-10
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 |
|---|---|---|---|---|
| I20120110000523 | 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 | 189 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 67 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 64 | 51 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 32 | 27 | $0 |
Insurance plans in this area (ZIP 34239)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 11101 | Biopsy of each additional growth of skin and/or tissue | 390 | 241 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL |
Reviews
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