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BONY MATHEW FNP-BC
NPI 1174282099
Nurse Practitioner in Palm Springs, CA

Active since December 08, 2021PECOS EnrolledAccepts Medicare Assignment
558 S PASEO DOROTEA STE 6, PALM SPRINGS, CA 92264(760) 423-4000 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2023, Dec 16, 2021, Dec 8, 2021 (3 updates tracked since 2021).

About Bony Mathew Fnp-bc NPPES

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

BONY MATHEW FNP-BC (NPI 1174282099) is an individual nurse practitioner in Palm Springs, California, licensed in California (95022391) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174282099
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBONY MATHEWCredential: FNP-BC
Location Address558 S PASEO DOROTEA STE 6Palm Springs, CA 92264-1429
Mailing Address620 S Thornhill Rd Apt 1Palm Springs, CA 92264-2725
Phone(760) 423-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 8, 2021
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1174282099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CA · 95022391✔ Licensed in IL · 209.023999
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
558 S PASEO DOROTEA STE 6, Palm Springs, CA 92264
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bony Mathew Fnp-bc 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 ID1658729231
PECOS Enrollment IDI20231120002235
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Bony Mathew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Homan A. Zadeh, M.D., M.P.H., Inc.
3.2 mi
Gastroenterology
1330 N INDIAN CANYON DR, SUITE F
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Homan A Zadeh MD Mph Inc
  • 14 clinicians in this Medicare group
NPI 1891026373 (760) 864-4163
Contour Dermatology And Cosmetic Surgery Medical Center, Apc
6.6 mi
Dermatology
42600 MIRAGE RD
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1063502227 (760) 423-4000

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 2

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.

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.
85 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92264 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Bony Mathew's NPI number?

The NPI number for Bony Mathew is 1174282099. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Bony Mathew located?

Bony Mathew practices at 558 S Paseo Dorotea Ste 6, Palm Springs, CA 92264. The listed phone number is (760) 423-4000.

What is Bony Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bony Mathew enrolled in Medicare?

Yes. Bony Mathew 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.

Which organizations bill Medicare for Bony Mathew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bony Mathew reassigns Medicare benefits to 2 organizations: Homan A. Zadeh, M.D., M.P.H., Inc. (Palm Springs, CA) and Contour Dermatology And Cosmetic Surgery Medical Center, Apc (Rancho Mirage, CA). 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 Bony Mathew'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 Bony Mathew was last updated on August 31, 2023. 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.