DR. MICHAEL LLEWELLYN BONEBRAKE (MD) – Surgery Physician, NPI 1740487545
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
Provider Addresses for DR. MICHAEL LLEWELLYN BONEBRAKE (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-5298
Fax: (888) 824-2176
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
DIV SURG ACCS
SAINT LOUIS, MO 631101003
Phone: (314) 362-5298
Fax: (888) 824-2176
Type: Location
1 Barnes Jewish Hospital Plz
Dept of Anesthesiology
Saint Louis, MO 631101003
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Location
St Anthonys Way, Alton, Madison County, Illinois, 62002, United States
SUITE 305
ALTON, IL 620024569
Phone: (618) 465-9024
Fax: (618) 462-6828
Type: Mailing
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: 2018-08-10
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 |
|---|---|---|---|---|
| I20180810000355 | I | General Surgery | MO | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 30 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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