BRIAN BONENFANT (PA) – Physician Assistant, NPI 1245248228
Physician Assistant
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NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for BRIAN BONENFANT (PA)
460, Totten Pond Road, Prospectville, Piety Corner, Waltham, Middlesex County, Massachusetts, 02451, United States
C/O MZI
WALTHAM, MA 024511906
Phone: (781) 890-9933
Fax: (781) 890-9950
Type: Mailing
208 Mill Rd
Fairhaven, MA 027195208
Phone: (508) 973-2432
Fax: (508) 973-2435
Type: Location
208 MILL RD
FAIRHAVEN, MA 027195208
Phone: (508) 973-2000
Type: Mailing
Morton Hospital, 88, Washington Street, Weir Village, Taunton, Bristol County, Massachusetts, 02780, United States
ATTN EMERGENCY DEPT
TAUNTON, MA 02780
Phone: (508) 828-7108
Fax: (508) 828-7158
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: 2020-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040708001446 | I | Physician Assistant | MA | TBD |
| I20190409001974 | I | Physician Assistant | RI | TBD |
| I20200828001021 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 252 | 249 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 75 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 34 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 28 | $0 |
| 81002 | Urinalysis, manual test | 25 | 25 | $0 |
Insurance plans in this area (ZIP 02451)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Pain Management, Anesthesiology | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Clinical Social Worker | MA | |
| Hospitalist, Internal Medicine | MA | |
| Physician Assistant | MA | |
| H O S P I T A L I S T | MA | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| Clinical Social Worker | MA | |
| A N E S T H E S I O L O G Y | MA |
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