MR. SCOTT C BONZHEIM (PA) – Medical Physician Assistant, NPI 1255386900
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. SCOTT C BONZHEIM (PA)
PO BOX 685
LAPEER, MI 48446
Phone: (866) 898-7139
Fax: (616) 975-9827
Type: Mailing
4272 W VIENNA RD
CLIO, MI 484209454
Phone: (810) 919-9415
Fax: (810) 686-1687
Type: Location
1305, North Oakland Boulevard, Waterford Township, Oakland County, Michigan, 48327, United States
ER DEPARTMENT
WATERFORD, MI 48327
Phone: (248) 666-9000
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: 2005-02-23
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 |
|---|---|---|---|---|
| I20050223000850 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 611 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 126 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 116 | 92 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 100 | 20 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 82 | 24 | $0 |
Insurance plans in this area (ZIP 48446)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | GA | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
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