DR. GENA MARIE BONITATIBUS (M.D.) – Allergy & Immunology Physician, NPI 1184621310
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
137 ALLERGY/IMMUNOLOGY in GA
Provider Addresses for DR. GENA MARIE BONITATIBUS (M.D.)
4350 TOWNE CENTRE DR STE 1500
EVANS, GA 308093332
Phone: (706) 421-1700
Type: Mailing
Mitchell Lane, Evans County, Georgia, United States
EVANS, GA 30809
Phone: (706) 855-7675
Type: Mailing
1021, Bandana Boulevard East, Bandana Square, Saint Paul, Ramsey County, Minnesota, 55108, United States
SUITE 200
SAINT PAUL, MN 55108
Phone: (651) 642-2700
Fax: (651) 642-9441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,522.
Total Amount is formed as General ($1,522) + Research ($0) + Ownership ($0) = $1,522.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($212).
Total Amount
$1,522
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $212 |
| CSL Behring | $206 |
| Pharming Healthcare, Inc. | $193 |
| Amgen Inc. | $162 |
| Regeneron Healthcare Solutions, Inc. | $109 |
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: 2006-01-25
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 |
|---|---|---|---|---|
| I20060125000503 | I | Allergy/Immunology | GA | 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 | 2,177 | 31 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 373 | 14 | $0 |
| 95117 | Professional service for multiple injections of allergen | 288 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 100 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 76 | 57 | $0 |
Insurance plans in this area (ZIP 30809)
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