JEANETTE BONSACK O.D.
NPI 1013996453
Optometrist in Baltimore, MD
About Jeanette Bonsack O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANETTE BONSACK O.D. (NPI 1013996453) is an individual optometrist in Baltimore, Maryland, licensed in Maryland (TA0874) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bel Air, and is a graduate of Pennsylvania College Of Optometry (1984).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanette Bonsack O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jeanette Bonsack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21287
- Reassigned Medicare billing, District of Columbia enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeanette Bonsack's NPI number?
The NPI number for Jeanette Bonsack is 1013996453. It was assigned to this individual provider in the NPPES registry on January 13, 2006.
Where is Jeanette Bonsack located?
Jeanette Bonsack practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-9441.
What is Jeanette Bonsack's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jeanette Bonsack enrolled in Medicare?
Yes. Jeanette Bonsack is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeanette Bonsack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Bonsack reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanette Bonsack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeanette Bonsack was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeanette Bonsack, O.D. · NPI 1013996453
Optometrist provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since January 13, 2006.
## Identity
- **NPI:** 1013996453 (Entity type: Individual)
- **Enumerated:** January 13, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TA0874 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N WOLFE ST, Baltimore, MD 21287-0005
- **Phone:** (410) 955-9441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1023018413, Baltimore, MD); Johns Hopkins University (NPI 1588638878, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 1984
## Record status
- **NPPES last updated:** August 15, 2022
- **Other identifiers:** Medicaid 547658500 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1013996453) · Data from the CMS NPPES public registry.