DR. AMY BONNER ESDALE (MD) – Family Medicine Physician, NPI 1538256532

DR. AMY BONNER ESDALE (MD) is a healthcare provider. based in Gloucester, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 78116 (MA). The NPI Number for DR. AMY BONNER ESDALE (MD) is 1538256532

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY BONNER ESDALE (MD)
NPI
1538256532
Phone
(978) 283-2726
Address
298 WASHINGTON ST
Enumeration Date
10 October 2006
Last Update Date
20 January 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
9784687381
Graduation Year
1978 (48 years ago)
PAC ID
3375599921
Group Practice PAC ID
7719291434
Professional Enrollment ID
I20050325000712
Address ID
MA019822218SO15XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

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Provider Addresses for DR. AMY BONNER ESDALE (MD)

  • Addison Gilbert Hospital, 298, Washington Street, Riverdale Station, Gloucester, Essex County, Massachusetts, 01930, United States

    GLOUCESTER, MA 019304832

    Phone: (978) 283-2726

    Fax: (978) 283-0840

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2023-04-29 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($144).

Total Amount

$246

General + Research + Ownership

Payments

2

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-29

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: 2005-03-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050325000712IFamily PracticeMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes255151$0
99214Established patient office or other outpatient visit, 30-39 minutes208126$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report130128$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130130$0
G0444Annual depression screening, 5 to 15 minutes126126$0
View full utilization report →

Insurance plans in this area (ZIP 01930)

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Provider's Procedures

DR. AMY BONNER ESDALE (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1514

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: 7719291434View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineNH
Nurse PractitionerMA
Family PracticeMA
Family PracticeMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do payers reference DR. AMY BONNER ESDALE (MD)?
For DR. AMY BONNER ESDALE (MD), use NPI 1538256532 as the unique 10-digit identifier.
Is there an active status for DR. AMY BONNER ESDALE (MD)?
For scheduling context, DR. AMY BONNER ESDALE (MD) is shown as active in the registry.
What area of care is associated with DR. AMY BONNER ESDALE (MD)?
DR. AMY BONNER ESDALE (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. AMY BONNER ESDALE (MD)?
Directory geography for DR. AMY BONNER ESDALE (MD) centers on Gloucester, Massachusetts.
When was this NPI issued?
Enumeration for DR. AMY BONNER ESDALE (MD) is noted as October 10, 2006 where the registry provides it.

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