BONNIE MARMORA (MD) – Emergency Medicine Physician, NPI 1215390455

BONNIE MARMORA (MD) is a healthcare provider. based in Middletown, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301500857 (MI). The NPI Number for BONNIE MARMORA (MD) is 1215390455

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE MARMORA (MD)
NPI
1215390455
Phone
(513) 261-3410
Address
6147 State Route 122
Enumeration Date
4 April 2016
Last Update Date
16 July 2021

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
8035532200
Graduation Year
2016 (10 years ago)
PAC ID
0840569521
Group Practice PAC ID
2163702739
Professional Enrollment ID
I20241216001103
Address ID
SC291181442OR3000XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:10State licenses:4Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for BONNIE MARMORA (MD)

  • 6147 State Route 122

    Middletown, OH 450055201

    Phone: (513) 261-3410

    Type: Location

  • 1141 N Monroe Dr

    Xenia, OH 453851619

    Phone: (937) 352-2500

    Type: Location

  • 3535 Pentagon Blvd

    Beavercreek, OH 454311705

    Phone: (937) 702-4500

    Type: Location

  • 100 Kettering Way

    Franklin, OH 450051155

    Phone: (937) 916-2625

    Type: Location

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • 600 W Main St

    Troy, OH 453733384

    Phone: (937) 980-7010

    Type: Location

  • Wright-Patterson Medical Center, 4881, Sugar Maple Drive, Buckeye Trailer Court, Greene County, Ohio, 45433, United States

    WRIGHT PATTERSON AFB, OH 454335529

    Phone: (937) 257-0837

    Type: Mailing

  • 4881 SUGAR MAPLE DR

    DAYTON, OH 454335529

    Phone: (937) 257-0837

    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: 2024-12-16

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
I20210331002948IEmergency MedicineOHTBD
I20241216001103IEmergency MedicineSCTBD

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
99285Emergency department visit with high level of medical decision making4848$0
99284Emergency department visit with moderate level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 45005)

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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: 2163702739View full group profile
NameSpecialtyState
Emergency MedicineGA
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineSC
Emergency MedicineCA
Emergency MedicineSC
Nurse PractitionerFL
-GA
Emergency MedicineSC
Emergency MedicineIL

Reviews

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Frequently asked questions

What identifier follows BONNIE MARMORA (MD) across health systems?
The NPI 1215390455 uniquely identifies BONNIE MARMORA (MD) in U.S. healthcare data.
Is BONNIE MARMORA (MD)'s NPI status active today?
Active status means BONNIE MARMORA (MD)'s NPI record is not deactivated in the public file.
What services align with BONNIE MARMORA (MD)'s listing?
BONNIE MARMORA (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BONNIE MARMORA (MD) in Middletown, Ohio?
For routing, start with Middletown, Ohio for BONNIE MARMORA (MD), then verify phone and hours locally.
Who maintains BONNIE MARMORA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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