1. Home
  2. Directory
  3. Pennsylvania
  4. Canonsburg
  5. Physician Assistant
  6. NPI Profile

JULIA BONFESSUTO PA-C
NPI 1194363465
Physician Assistant in Canonsburg, PA

Active since December 17, 2019PECOS EnrolledAccepts Medicare Assignment
161 WATERDAM RD APT 120, CANONSBURG, PA 15317(412) 359-8900(412) 359-8977 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Jun 6, 2024, May 24, 2021 and 2 more (5 updates tracked since 2019).

About Julia Bonfessuto Pa-c NPPES

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

JULIA BONFESSUTO PA-C (NPI 1194363465) is an individual physician assistant in Canonsburg, Pennsylvania, licensed in Pennsylvania (MA061321) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Canonsburg General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194363465
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJULIA BONFESSUTOCredential: PA-C
Location Address161 WATERDAM RD APT 120Canonsburg, PA 15317-2572
Mailing Address161 Waterdam Rd Apt 120Canonsburg, PA 15317-2572 · (412) 359-8900 · Fax (412) 359-8977
Phone(412) 359-8900
Fax(412) 359-8977
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 17, 2019
Last NPPES UpdateJuly 3, 20245 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1194363465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA061321
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
161 WATERDAM RD APT 120, Canonsburg, PA 15317
Open in Google Maps ↗

Other Identifiers 2

Medicaid103742613PA
Other15717611Caqh

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

Julia Bonfessuto Pa-c 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 ID4789011792
PECOS Enrollment IDI20200303000949
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15317 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers35 claims4,350 services$0.33 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers19 claims2,220 services$0.20 avg. paid by Medicare
Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims5,520 services$3.87 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers45 claims45 services$18.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers12 claims12 services$11.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JOHN F SMITH JR. MD
Internal Medicine (Gastroenterology)
161 WATERDAM RD APT 120
CANONSBURG, PA 15317
Washington County (412) 359-8900

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 Julia Bonfessuto's NPI number?

The NPI number for Julia Bonfessuto is 1194363465. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Julia Bonfessuto located?

Julia Bonfessuto practices at 161 Waterdam Rd Apt 120, Canonsburg, PA 15317. The listed phone number is (412) 359-8900.

What is Julia Bonfessuto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Julia Bonfessuto enrolled in Medicare?

Yes. Julia Bonfessuto 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.

Is Julia Bonfessuto affiliated with any hospitals?

According to CMS data, Julia Bonfessuto is affiliated with Canonsburg General Hospital and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Julia Bonfessuto was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.