DR. ANTHONY JAKE BONIELLO (M.D.) – Orthopaedic Surgery Physician, NPI 1154702249

DR. ANTHONY JAKE BONIELLO (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MT209693 (PA). The NPI Number for DR. ANTHONY JAKE BONIELLO (M.D.) is 1154702249

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY JAKE BONIELLO (M.D.)
NPI
1154702249
Phone
(215) 762-7000
Address
245 N 15TH ST
Enumeration Date
15 June 2015
Last Update Date
8 July 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6099248131
Graduation Year
2015 (11 years ago)
PAC ID
8123360161
Group Practice PAC ID
6800225178
Professional Enrollment ID
I20210804001202
Address ID
NJ085401617PR325XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,621 ORTHOPEDIC SURGERY in PA

Provider Addresses for DR. ANTHONY JAKE BONIELLO (M.D.)

  • 245 N 15TH ST

    MS 420

    PHILADELPHIA, PA 191021101

    Phone: (215) 762-7000

    Type: Mailing

  • 325 PRINCETON AVE

    PRINCETON, NJ 085401617

    Phone: (609) 924-8131

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $4,813.

Total Amount is formed as General ($4,813) + Research ($0) + Ownership ($0) = $4,813.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,995).

Total Amount

$4,813

General + Research + Ownership

Payments

49

Total payment records

General Amount

$4,813

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2021-08-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210804001202IOrthopedic SurgeryNJTBD

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
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,18426$0
99214Established patient office or other outpatient visit, 30-39 minutes403271$0
99213Established patient office or other outpatient visit, 20-29 minutes335242$0
20610Aspiration and/or injection of fluid from large joint242129$0
73502X-ray of hip, 2-3 views240157$0
View full utilization report →

Insurance plans in this area (ZIP 19102)

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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: 6800225178View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Pain Management, AnesthesiologyNJ
Physical Therapist In Private PracticeNJ
Sports Medicine, Family PracticeNJ
Orthopedic SurgeryNJ
Hand Surgery, Orthopedic SurgeryNJ
Physician AssistantNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physician AssistantIL

Reviews

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Frequently asked questions

What is DR. ANTHONY JAKE BONIELLO (M.D.)'s NPI number?
DR. ANTHONY JAKE BONIELLO (M.D.)'s NPI is 1154702249 — the number used across U.S. healthcare to identify this provider.
Is DR. ANTHONY JAKE BONIELLO (M.D.) still an active registrant?
DR. ANTHONY JAKE BONIELLO (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. ANTHONY JAKE BONIELLO (M.D.)?
At a glance, DR. ANTHONY JAKE BONIELLO (M.D.) is tied to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANTHONY JAKE BONIELLO (M.D.) associated with Philadelphia?
Public fields place DR. ANTHONY JAKE BONIELLO (M.D.) around Philadelphia, Pennsylvania. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. ANTHONY JAKE BONIELLO (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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