EDWARD J BONGIORNO (DO) – Internal Medicine Physician, NPI 1992789754
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 PEDIATRIC MEDICINE in WI
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Provider Addresses for EDWARD J BONGIORNO (DO)
1630, Commanche Avenue, Ashwaubenon, Brown County, Wisconsin, 54313, United States
GREEN BAY, WI 543135753
Phone: (920) 430-4700
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($37).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $37 |
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: 2003-12-04
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 |
|---|---|---|---|---|
| I20031204000857 | I | Internal Medicine | WI | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 425 | 306 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 343 | 224 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 251 | 169 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 191 | 191 | $0 |
| G0008 | Administration of influenza virus vaccine | 58 | 54 | $0 |
Insurance plans in this area (ZIP 54313)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WI | 83036 | Hemoglobin A1C level | 14 | 12 |
| INTERNAL MEDICINE | WI | 90670 | Pneumococcal vaccine for injection into muscle | 25 | 25 |
| INTERNAL MEDICINE | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 413 | 315 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Physical Therapist In Private Practice | WI |
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