MICHELLE D BONTA MD
NPI 1265468615
Dermatology in Portland, OR

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
417 SW 117TH AVE, 2ND FLOOR, PORTLAND, OR 97225(503) 216-9400(503) 216-9499 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle D Bonta Md NPPES

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

MICHELLE D BONTA MD (NPI 1265468615) is an individual dermatology provider in Portland, Oregon, licensed in Oregon (MD25129) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Harvard Medical School (2000).

NPPES Registry Identity

NPI1265468615
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMICHELLE D BONTACredential: MD
Location Address417 SW 117TH AVE, 2ND FLOORPortland, OR 97225-5924
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 216-9499
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2000
Enumeration DateJune 25, 2006
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1265468615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OR · MD25129
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.

417 SW 117TH AVE, Portland, OR 97225

Other Identifiers 2

OtherP00207043OR · Rr Medicare - Ph&s
Medicaid233462OR

Accepted 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

Michelle D Bonta 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 ID6709851363
PECOS Enrollment IDI20040827000927
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 12

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.
799 services116 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.
308 services185 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.
276 services155 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.
275 services176 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
239 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services128 patients

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 19

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

Physician Assistant
417 SW 117TH AVE, SUITE 200
PORTLAND, OR 97225
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Internal Medicine
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Clinic/Center (Medical Specialty)
417 SW 117TH AVE, STE. 120
PORTLAND, OR 97225
Internal Medicine
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Physician Assistant
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Nurse Practitioner (Family)
417 SW 117TH AVE
PORTLAND, OR 97225

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 Michelle Bonta's NPI number?

The NPI number for Michelle Bonta is 1265468615. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Michelle Bonta located?

Michelle Bonta practices at 417 SW 117th Ave 2nd Floor, Portland, OR 97225. The listed phone number is (503) 216-9400.

What is Michelle Bonta's specialty?

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

Is Michelle Bonta enrolled in Medicare?

Yes. Michelle Bonta 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 Michelle Bonta accept?

Health plans from Providence Health Plan list Michelle Bonta 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.

Is Michelle Bonta affiliated with any hospitals?

According to CMS data, Michelle Bonta is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Bonta was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.