1. Home
  2. Directory
  3. Maryland
  4. Timonium
  5. Family Medicine
  6. NPI Profile

WAYNE RUSSSELL BONLIE M.D.
NPI 1093770042
Family Medicine in Timonium, MD

Active since April 20, 2006Opted out of Medicare · through Oct 1, 2026
30 E PADONIA RD, SUITE 305, TIMONIUM, MD 21093(410) 560-7404(443) 588-1725 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne Russsell Bonlie M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE RUSSSELL BONLIE M.D. (NPI 1093770042) is an individual family medicine provider in Timonium, Maryland, licensed in Maryland (D0062606) and active in the NPI registry since April 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093770042
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWAYNE RUSSSELL BONLIECredential: M.D.
Location Address30 E PADONIA RD, SUITE 305Timonium, MD 21093-2345
Mailing Address30 E Padonia Rd, Suite 305Timonium, MD 21093-2345 · (410) 560-7404 · Fax (443) 588-1725
Phone(410) 560-7404
Fax(443) 588-1725
Sole ProprietorYes
Enumeration DateApril 20, 2006
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1093770042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0062606
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30 E PADONIA RD, Timonium, MD 21093
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF61293MD
Medicare PIN150010ZDDBMD
Medicare PIN945LL573MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Wayne Russsell Bonlie M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEIL HOWARD BLUMBERG M.D.
Psychiatry & Neurology (Forensic Psychiatry)
30 E PADONIA RD, SUITE 206
TIMONIUM, MD 21093
Baltimore County (410) 561-1156
WAYNE R. BONLIE, M.D., P.A
Clinic/Center (Primary Care)
30 E PADONIA RD, SUITE 305
TIMONIUM, MD 21093
Baltimore County (410) 560-7404

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 Wayne Bonlie's NPI number?

The NPI number for Wayne Bonlie is 1093770042. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Wayne Bonlie located?

Wayne Bonlie practices at 30 E Padonia Rd Suite 305, Timonium, MD 21093. The listed phone number is (410) 560-7404.

What is Wayne Bonlie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wayne Bonlie enrolled in Medicare?

No. Wayne Bonlie has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wayne Bonlie was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.