DR. MARC A BONANNI (DPM) – Podiatrist, NPI 1780645192
Podiatrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
Provider Addresses for DR. MARC A BONANNI (DPM)
24 FRANK LLOYD WRIGHT DR IVE
J2000
ANN ARBOR, MI 48105
Phone: (734) 747-6766
Fax: (734) 222-3100
Type: Mailing
990 W ANN ARBOR TRAIL
SUITE 102
PLYMOUTH, MI 481701686
Phone: (734) 572-1141
Fax: (734) 572-1142
Type: Location
524 BYRON RD
HOWELL, MI 488431410
Phone: (517) 548-3100
Fax: (517) 548-4594
Type: Mailing
1221, Byron Road, Howell, Livingston County, Michigan, 48843, United States
STE 3
HOWELL, MI 488431069
Phone: (517) 548-3100
Fax: (517) 548-4594
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: 2004-05-04
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 |
|---|---|---|---|---|
| I20040504001293 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 800 | 235 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 234 | 26 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 206 | 113 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 195 | 54 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 158 | 45 | $0 |
Insurance plans in this area (ZIP 48105)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| Interventional Radiology | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine, Geriatric Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hospitalist, Internal Medicine | MI |
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