STEVAN D BONOM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1497728752
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN
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Provider Addresses for STEVAN D BONOM (CRNA)
341, Trane Drive, Westmoreland Heights, Knoxville, Knox County, Tennessee, 37919, United States
KNOXVILLE, TN 379196053
Phone: (865) 588-0880
Type: Mailing
University of Tennessee Medical Center, 1924, Alcoa Highway, Knoxville, Knox County, Tennessee, 37920, United States
U109
KNOXVILLE, TN 379201511
Phone: (865) 305-9220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($86).
Total Amount
$110
General + Research + Ownership
Payments
5
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $86 |
| Medtronic, Inc. | $24 |
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: 2011-11-23
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 |
|---|---|---|---|---|
| I20111123000121 | I | Certified Registered Nurse Anesthetist (Crna) | TN | 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 |
|---|---|---|---|---|
| 01930 | Anesthesia for other x-ray on vein or lymph system | 583 | 213 | $0 |
Insurance plans in this area (ZIP 37919)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| General Surgery | TN | |
| - | TN |
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