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DR. ANTHONY BONFIGLIO MD
NPI 1144319104
Dermatology in Mequon, WI

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
10303 N PORT WASHINGTON RD, SUITE 101, MEQUON, WI 53092(262) 240-0440(262) 240-0441 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Feb 16, 2021, Jul 16, 2020 (3 updates tracked since 2020).

About Dr. Anthony Bonfiglio Md NPPES

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

DR. ANTHONY BONFIGLIO MD (NPI 1144319104) is an individual dermatology provider in Mequon, Wisconsin, licensed in Wisconsin (25545-020) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Medical College Of Wisconsin (1981).

NPPES Registry Identity

NPI1144319104
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. ANTHONY BONFIGLIOCredential: MD
Location Address10303 N PORT WASHINGTON RD, SUITE 101Mequon, WI 53092-5760
Mailing Address801 York StManitowoc, WI 54220-4630 · (866) 630-9882 · Fax (920) 683-2131
Phone(262) 240-0440
Fax(262) 240-0441
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1981
Enumeration DateOctober 11, 2006
Last NPPES UpdateSeptember 8, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1144319104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WI · 25545-020
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10303 N PORT WASHINGTON RD, Mequon, WI 53092
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Secondary Practice Locations 3

Location 12600 N Mayfair Rd Ste 810Milwaukee, WI 53226-1328 · Phone (414) 771-1122 · Fax (414) 771-1352
Location 21440 N 25th StSheboygan, WI 53081-3108 · Phone (920) 457-9100 · Fax (920) 457-1461
Location 3111 Wisconsin American DrFond Du Lac, WI 54937-6725 · Phone (920) 923-0788 · Fax (920) 273-0085

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony Bonfiglio Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921060443
PECOS Enrollment IDI20100915000653
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
489 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
360 services243 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
188 services132 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
181 services128 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
81 services68 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
41 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
36%28 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,758 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%3,257 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%697 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%2,271 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%766 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
0%1,867 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
3%1,169 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 663 patients
Patients tobacco: 100% · 663 patients
95%38 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
41%663 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,271 patients5/55-star benchmark: 100%
Psoriasis: Clinical Response to Oral Systemic or Biologic Medications
Percentage of psoriasis vulgaris patients receiving oral systemic or biologic therapy who meet minimal physician-or patient- reported disease activity levels.
57%21 patients
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%2,271 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
99%178 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

DR. MICHAEL MAZIUS PHD
Psychologist (Clinical)
10303 N PORT WASHINGTON RD, #203
MEQUON, WI 53092
Ozaukee County (262) 241-5955
NINA SEBASTIAN BREDEHORN MSN, APNP, CPNP, PMH
Nurse Practitioner (Pediatrics)
10303 N PORT WASHINGTON RD, SUITE 203
MEQUON, WI 53092
Ozaukee County (262) 241-5955
MS. GABRIELLA C. BUCHNIK CCC-SLP
Speech-Language Pathologist
10303 N PORT WASHINGTON RD, SUITE 203
MEQUON, WI 53092
Ozaukee County (262) 241-5955
MRS. LORI A HEINRICH MD
Dermatology
10303 N PORT WASHINGTON RD, SUITE 101
MEQUON, WI 53092
Ozaukee County (262) 240-0440
DR. DON ANTHONY STOIBER DDS
Dentist
10303 N PORT WASHINGTON RD, SUITE #103A
MEQUON, WI 53092
Ozaukee County (262) 240-0405
MS. GWEN JOYCE GETTELMAN PA-C
Physician Assistant
10303 N PORT WASHINGTON RD, SUITE 101
MEQUON, WI 53092
Ozaukee County (262) 240-0440
TERRI PECKERMAN-STEIN MSW, LCSW
Social Worker (Clinical)
10303 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-4955
NORTH SHORE DERMATOLOGY, S.C.
Dermatology
10303 N PORT WASHINGTON RD, SUITE 101
MEQUON, WI 53092
Ozaukee County (262) 240-0440

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 Anthony Bonfiglio's NPI number?

The NPI number for Anthony Bonfiglio is 1144319104. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Anthony Bonfiglio located?

Anthony Bonfiglio practices at 10303 N Port Washington Rd Suite 101, Mequon, WI 53092. The listed phone number is (262) 240-0440.

What is Anthony Bonfiglio's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anthony Bonfiglio enrolled in Medicare?

Yes. Anthony Bonfiglio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Bonfiglio accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Anthony Bonfiglio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Bonfiglio was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.