MARIO A. BONILLA (M.D) – Interventional Cardiology Physician, NPI 1609873736
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARIO A. BONILLA (M.D)
5012 S US HIGHWAY 75 STE 300
ATTN BILLING
DENISON, TX 750204589
Phone: (903) 465-3624
Fax: (903) 465-3973
Type: Mailing
Pool Road, Ellsworth, Denison, Grayson County, Texas, 75020, United States
DENISON, TX 750204595
Phone: (903) 465-3624
Fax: (903) 465-3973
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 $164.
Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Abbott Laboratories ($164).
Total Amount
$164
General + Research + Ownership
Payments
5
Total payment records
General Amount
$164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $164 |
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: 2009-07-22
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 |
|---|---|---|---|---|
| I20090722000383 | I | Interventional Cardiology | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75020)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | TX | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 191 | 176 |
| INTERVENTIONAL CARDIOLOGY | TX | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 120 | 85 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | OK | |
| General Surgery, Vascular Surgery | TX | |
| Internal Medicine, Gastroenterology | TX | |
| Thoracic Surgery, General Surgery | TX | |
| Orthopedic Surgery, Sports Medicine | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | NM | |
| General Surgery | TX |
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