DR. SCOTT AARON BONNONO (M.D., M.S.) – Emergency Medicine Physician, NPI 1366881971

DR. SCOTT AARON BONNONO (M.D., M.S.) is a healthcare provider. based in Carbondale, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D., M.S.. They hold a License No. 036.142043 (IL). The NPI Number for DR. SCOTT AARON BONNONO (M.D., M.S.) is 1366881971

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT AARON BONNONO (M.D., M.S.)
NPI
1366881971
Phone
(618) 549-0721
Address
405 W JACKSON ST
Enumeration Date
17 June 2013
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
5208733840
Graduation Year
2013 (13 years ago)
PAC ID
9436455193
Group Practice PAC ID
2668903006
Professional Enrollment ID
I20180124002595
Address ID
AZ857112602TU350XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,847 EMERGENCY MEDICINE in IL

Provider Addresses for DR. SCOTT AARON BONNONO (M.D., M.S.)

  • 405 W JACKSON ST

    CARBONDALE, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • P O BOX 1467

    INDIANAPOLIS, IN 462061467

    Phone: (618) 457-5200

    Fax: (618) 457-0469

    Type: Mailing

  • 350 N WILMOT RD

    TUCSON, AZ 857112602

    Phone: (520) 873-3840

    Fax: (520) 873-3921

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-01-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180124002595IEmergency MedicineAZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making132132$0
99291Critical care, first 30-74 minutes4444$0
99284Emergency department visit with moderate level of medical decision making2828$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 2668903006View full group profile
NameSpecialtyState
Emergency MedicineAZ
Nurse PractitionerAZ
Emergency MedicineAZ
Emergency MedicineOR
Emergency MedicineAZ
Emergency MedicineAZ
Emergency MedicineAZ
Emergency MedicineOH
Emergency MedicineAZ
Emergency MedicineMT

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SCOTT AARON BONNONO (M.D., M.S.)?
DR. SCOTT AARON BONNONO (M.D., M.S.) — NPI 1366881971 — is the standard way to identify this listing.
Is DR. SCOTT AARON BONNONO (M.D., M.S.) still practicing?
DR. SCOTT AARON BONNONO (M.D., M.S.) is currently listed as active in the public NPI registry.
What is DR. SCOTT AARON BONNONO (M.D., M.S.) best known for clinically?
Directory data describes DR. SCOTT AARON BONNONO (M.D., M.S.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SCOTT AARON BONNONO (M.D., M.S.) on a map?
Expect Carbondale, Illinois as a primary anchor for DR. SCOTT AARON BONNONO (M.D., M.S.) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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