BRETT J BONYNGE (MD) – Interventional Pain Medicine Physician, NPI 1083246821

BRETT J BONYNGE (MD) is a healthcare provider. based in Peoria, Illinois. specializing in PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 036166967 (IL). The NPI Number for BRETT J BONYNGE (MD) is 1083246821

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
BRETT J BONYNGE (MD)
NPI
1083246821
Phone
(309) 299-8381
Address
217 E ILLINOIS AVE
Enumeration Date
10 February 2020
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2198367246
Graduation Year
2021 (5 years ago)
PAC ID
9032514435
Group Practice PAC ID
5496654618
Professional Enrollment ID
I20250528000951
Address ID
IN463043279CH1100XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

483 PAIN MANAGEMENT in IL

Provider Addresses for BRETT J BONYNGE (MD)

  • 217 E ILLINOIS AVE

    PEORIA, IL 616033016

    Phone: (309) 299-8381

    Type: Mailing

  • 420 E SUPERIOR ST

    CHICAGO, IL 606114494

    Phone: (312) 503-8194

    Type: Location

  • 8840 CALUMET AVE STE 103

    MUNSTER, IN 463212546

    Phone: (219) 836-7246

    Fax: (219) 836-6454

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $3,754.

Total Amount is formed as General ($3,754) + Research ($0) + Ownership ($0) = $3,754.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Medtronic, Inc. ($3,673).

Total Amount

$3,754

General + Research + Ownership

Payments

16

Total payment records

General Amount

$3,754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-05-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250528000951IPain ManagementINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496654618View full group profile
NameSpecialtyState
-IN
Anesthesiology, Interventional Pain ManagementIN
-IN
Pain ManagementMI
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Where can patients find BRETT J BONYNGE (MD)'s NPI?
You can confirm BRETT J BONYNGE (MD) with NPI 1083246821; it appears in the national provider directory.
Is BRETT J BONYNGE (MD) currently active in the NPI registry?
CMS-published data lists BRETT J BONYNGE (MD) as an active registrant.
Can you summarize BRETT J BONYNGE (MD)'s specialty in plain language?
Clinically, the directory lists BRETT J BONYNGE (MD) with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for BRETT J BONYNGE (MD)?
We surface Peoria, Illinois for BRETT J BONYNGE (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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