Doctor profile · Federal record
Dr. Loren Bonenclark, PA-C
Physician Assistant · Surgical Physician Assistant · Surgical Physician Assistant · Jacksonville, FL
- NPI 1639629579
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 10 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1301 Palm Ave
Jacksonville, FL 322078432
(904) 202-7300
fax (904) 202-7433 - Mailing address
-
Po Box 45278
Jacksonville, FL 322325278
Credentials & registration
- NPI registered
- October 2016 — 10 yrs on file
- Profile last updated
- September 24, 2019
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Florida #PA9112402 · Maryland #C06217
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639629579. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
705
Distinct HCPCS
10
Medicare allowed
$37,971
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 174 | 41 | $5 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 112 | 92 | $47 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 78 | 64 | $75 | |
11102 |
Biopsy of related skin growth, first growth | 76 | 71 | $81 | |
17000 |
Destruction of precancer skin growth, 1 growth | 74 | 61 | $44 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $95 | |
11103 |
Biopsy of related skin growth, each additional growth | 46 | 32 | $41 | |
17110 |
Destruction of skin growth, 1-14 growths | 30 | 28 | $94 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $141 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 21 | 16 | $107 |
In context: peer comparison
Among 202 peers in Jacksonville Physician Assistant, average services per provider: 155. This provider delivers 4.5× the peer median.Open Payments
Industry payments received
All-time total
$152
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organogenesis INC. | 3 | $105.91 | |
| Abbvie INC. | 2 | $45.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
128
Patients
98
Total drug cost
$2,857
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 26 | 18 | $391 |
| Clobetasol Propionate | Generic | 22 | 15 | $1,177 |
| Ketoconazole | Generic | 22 | 17 | $439 |
| Mupirocin | Generic | 21 | 18 | $143 |
| Hydrocortisone | Generic | 20 | 16 | $295 |
| Cephalexin | Generic | 17 | 14 | $411 |
Frequently asked questions
What is Dr. Loren Bonenclark's medical specialty?
Dr. Loren Bonenclark practices Physician Assistant in Jacksonville, FL.
Where does Dr. Loren Bonenclark practice?
Dr. Loren Bonenclark practices at 1301 Palm Ave, Jacksonville, FL 322078432. Office phone: 9042027300.
What is Dr. Loren Bonenclark's NPI?
Dr. Loren Bonenclark's National Provider Identifier (NPI) is 1639629579, issued by NPPES.
Does Dr. Loren Bonenclark accept Medicare assignment?
Yes. Dr. Loren Bonenclark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Loren Bonenclark commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99212); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.