Doctor profile · Federal record
Dr. Mary Bonomo, P.A.
Surgical Physician Assistant · Philadelphia, PA
- NPI 1376861690
- 16 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5501 Old York RD, Klein 510
Philadelphia, PA 191413018
(215) 456-6933
Credentials & registration
- NPI registered
- May 2010 — 16 yrs on file
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Pennsylvania #MA051566
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376861690. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
82
Distinct HCPCS
1
Medicare allowed
$4,500
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 82 | 19 | $55 |
In context: peer comparison
Among 13 peers in Philadelphia Surgical Physician Assistant, average services per provider: 38. This provider delivers 2.2× the peer median.Open Payments
Industry payments received
All-time total
$54
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ipsen Biopharmaceuticals, INC | 1 | $30.04 | |
| Smith+Nephew, INC. | 1 | $24.34 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
705
Patients
91
Total drug cost
$65,105
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Nifedipine ER (Nifedipine) | Brand | 97 | 21 | $2,359 |
| Pantoprazole Sodium | Generic | 82 | 13 | $835 |
| Prednisone | Generic | 59 | 17 | $694 |
| Valganciclovir Hcl | Generic | 58 | 15 | $16,092 |
| Tamsulosin Hcl | Generic | 52 | 0 | $421 |
| Carvedilol | Generic | 51 | 0 | $252 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 50 | 12 | $397 |
| Gabapentin | Generic | 41 | 0 | $375 |
| Tacrolimus | Generic | 39 | 13 | $10,668 |
| Lokelma (Sodium Zirconium Cyclosilicate) | Brand | 38 | 0 | $28,629 |
Frequently asked questions
What is Dr. Mary Bonomo's medical specialty?
Dr. Mary Bonomo practices Surgical Physician Assistant in Philadelphia, PA.
Where does Dr. Mary Bonomo practice?
Dr. Mary Bonomo practices at 5501 Old York RD, Philadelphia, PA 191413018. Office phone: 2154566933.
What is Dr. Mary Bonomo's NPI?
Dr. Mary Bonomo's National Provider Identifier (NPI) is 1376861690, issued by NPPES.
What procedures does Dr. Mary Bonomo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.