CASEY RENEE BONAQUIST (D.O.) – Obesity Medicine (Family Medicine) Physician, NPI 1689836918
Obesity Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for CASEY RENEE BONAQUIST (D.O.)
PO BOX 45443
SALT LAKE CITY, UT 841450443
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 320816152
Phone: (904) 824-6194
Fax: (904) 824-5333
Type: Location
400 Colonnade Dr Ste 230
Ponte Vedra, FL 320816237
Phone: (904) 202-1795
Fax: (904) 376-3478
Type: Location
PO BOX 746647
ATLANTA, GA 303746647
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
836 PRUDENTIAL DR STE 1006
JACKSONVILLE, FL 322078337
Phone: (904) 202-1795
Fax: (904) 376-3478
Type: Location
400 COLONNADE DR STE 160
PONTE VEDRA, FL 320816236
Phone: (904) 824-6194
Fax: (904) 824-5333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $1,290.
Total Amount is formed as General ($1,290) + Research ($0) + Ownership ($0) = $1,290.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($348).
Total Amount
$1,290
General + Research + Ownership
Payments
73
Total payment records
General Amount
$1,290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $348 |
| GlaxoSmithKline, LLC. | $155 |
| Lilly USA, LLC | $111 |
| Amgen Inc. | $110 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $87 |
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: 2014-02-10
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 |
|---|---|---|---|---|
| I20140210001656 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 834 | 284 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 267 | 267 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 248 | 248 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 223 | 223 | $0 |
| 99497 | Advance care planning, first 30 minutes | 75 | 75 | $0 |
Insurance plans in this area (ZIP 84145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Nurse Practitioner | MA | |
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| N E U R O S U R G E R Y | GA | |
| - | FL | |
| - | FL |
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