JENNIFER MARIE BONTREGER (D.O.) – Sports Medicine (Internal Medicine) Physician, NPI 1679516652
Sports Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JENNIFER MARIE BONTREGER (D.O.)
Justin Road, Lewisville, Denton County, Texas, 75065, United States
STE 104
LEWISVILLE, TX 750777182
Phone: (469) 645-0200
Fax: (469) 637-0000
Type: Mailing
2014, Justin Road, Highland Village, Denton County, Texas, 75077, United States
SUITE 104
HIGHLAND VILLAGE, TX 750777161
Phone: (469) 645-0200
Fax: (469) 637-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $263.
Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Amgen Inc. ($113).
Total Amount
$263
General + Research + Ownership
Payments
14
Total payment records
General Amount
$263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-01-10
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 |
|---|---|---|---|---|
| I20120110000193 | I | Internal Medicine | TX | 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 75077)
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