LAUREN ELIZABETH BONOMO (MD) – Dermatology Physician, NPI 1477059442
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
Provider Addresses for LAUREN ELIZABETH BONOMO (MD)
1959 NE PACIFIC ST BOX 356524
SEATTLE, WA 981956524
Phone: (206) 685-6120
Type: Mailing
33915 1ST WAY S
STE 130
FEDERAL WAY, WA 980036396
Phone: (253) 589-5776
Fax: (206) 859-5776
Type: Mailing
925 Seneca St
Seattle, WA 981012742
Phone: (206) 583-6079
Type: Location
University of Washington Medical Center - Montlake, 1959, Northeast Pacific Street, University District, Seattle, King County, Washington, 98195, United States
#356524
SEATTLE, WA 981956524
Phone: (206) 685-6120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 119 Open Payments records for all available years, with a total value of $2,382.
Total Amount is formed as General ($2,382) + Research ($0) + Ownership ($0) = $2,382.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($664).
Total Amount
$2,382
General + Research + Ownership
Payments
119
Total payment records
General Amount
$2,382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $664 |
| E.R. Squibb & Sons, L.L.C. | $460 |
| GENZYME CORPORATION | $169 |
| Lilly USA, LLC | $114 |
| Amgen Inc. | $106 |
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: 2023-10-27
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 |
|---|---|---|---|---|
| I20231027002555 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 98 | 19 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 41 | 37 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 40 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 27 | $0 |
Insurance plans in this area (ZIP 98195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| - | TX |
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