DR. ANDREA BONI (M.D.) – Clinical Pathology/Laboratory Medicine Physician, NPI 1760707624

DR. ANDREA BONI (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 036.139961 (IL). The NPI Number for DR. ANDREA BONI (M.D.) is 1760707624

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA BONI (M.D.)
NPI
1760707624
Phone
(715) 838-5222
Address
200 1ST ST SW
Enumeration Date
5 April 2010
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158383806
Graduation Year
2003 (23 years ago)
PAC ID
9931420007
Group Practice PAC ID
4385553627
Professional Enrollment ID
I20220624001370
Address ID
WI547035270EA1221XSTXX300

Contacts

Secure Messaging
aboni1749602@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:16State licenses:4Other namesUpdated within 12 months

354 PATHOLOGY in WI

Provider Addresses for DR. ANDREA BONI (M.D.)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (715) 838-5222

    Fax: (575) 622-3720

    Type: Mailing

  • 1400 BELLINGER ST

    EAU CLAIRE, WI 547035222

    Phone: (715) 838-5222

    Type: Location

  • 600, North Richardson Avenue, Roswell, Chaves County, New Mexico, 88201, United States

    ROSWELL, NM 882014828

    Phone: (575) 622-5600

    Type: Location

  • Roswell Post Office, West 5th Street, Roswell, Chaves County, New Mexico, 88201, United States

    ROSWELL, NM 882022208

    Phone: (575) 622-5600

    Fax: (575) 622-3720

    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: 2022-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220624001203IPathologyMNTBD
I20220624001370IPathologyWITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity2,8981,720$0
88341Special stained specimen slides to examine tissue, each additional procedure636247$0
88342Special stained specimen slides to examine tissue, initial procedure370301$0
84165Protein measurement, serum135116$0
88304Pathology examination of tissue using a microscope, moderately low complexity10491$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 4385553627View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. ANDREA BONI (M.D.)?
For DR. ANDREA BONI (M.D.), use NPI 1760707624 as the unique 10-digit identifier.
Would DR. ANDREA BONI (M.D.) appear as active to a payer?
You can treat DR. ANDREA BONI (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. ANDREA BONI (M.D.)?
DR. ANDREA BONI (M.D.)'s specialty line reads Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. ANDREA BONI (M.D.) registered?
Use Rochester, Minnesota as the headline location for DR. ANDREA BONI (M.D.) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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