Doctor profile · Federal record
Dr. Erichsen Bonostro, PAC
Surgical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Lakeland, FL
- NPI 1902170327
- Accepts Medicare
- MIPS 77.7 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1324 Lakeland Hills Blvd
Lakeland, FL 338054543
(863) 687-1321
fax (863) 284-1730
Credentials & registration
- NPI registered
- March 2012 — 14 yrs on file
- Profile last updated
- July 7, 2017
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Florida #PA9106442
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902170327. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
26
Distinct HCPCS
2
Medicare allowed
$2,250
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
57288 |
Creation of sling around urethra in female to control leakage | 15 | 15 | $55 | |
57425 |
Surgical repair of vaginal defect using an endoscope | 11 | 11 | $130 |
In context: peer comparison
Among 10 peers in Lakeland Surgical Physician Assistant, average services per provider: 120. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$95
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 2 | $94.91 |
By nature of payment
Frequently asked questions
What is Dr. Erichsen Bonostro's medical specialty?
Dr. Erichsen Bonostro practices Surgical Physician Assistant in Lakeland, FL.
Where does Dr. Erichsen Bonostro practice?
Dr. Erichsen Bonostro practices at 1324 Lakeland Hills Blvd, Lakeland, FL 338054543. Office phone: 8636871321.
What is Dr. Erichsen Bonostro's NPI?
Dr. Erichsen Bonostro's National Provider Identifier (NPI) is 1902170327, issued by NPPES.
Does Dr. Erichsen Bonostro accept Medicare assignment?
Yes. Dr. Erichsen Bonostro accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Erichsen Bonostro commonly perform?
Top Medicare-reported procedures in 2023: Creation of sling around urethra in female to control leakage (HCPCS 57288); Surgical repair of vaginal defect using an endoscope (HCPCS 57425). Source: CMS Medicare Physician & Other Practitioners file.