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ANNA BONICKY PA-C
NPI 1265979678
Physician Assistant in Fairfax, VA

Active since January 23, 2017PECOS Enrolled
92.33/100
CMS Quality Rating
4094 MAJESTIC LN, SUITE 298, FAIRFAX, VA 22033(703) 631-1745 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anna Bonicky Pa-c NPPES

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

ANNA BONICKY PA-C (NPI 1265979678) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110-005620) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265979678
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNA BONICKYCredential: PA-C
Location Address4094 MAJESTIC LN, SUITE 298Fairfax, VA 22033-2104
Mailing Address2800 Hickory StAlexandria, VA 22305-2511 · (571) 217-3070
Phone(703) 631-1745
Sole ProprietorYes
Enumeration DateJanuary 23, 2017
✔ NPI 1265979678 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 VA · 0110-005620
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.
4094 MAJESTIC LN, Fairfax, VA 22033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Bonicky Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
120 services117 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
90 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

92.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.98
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MS. JUDITH T HALL LCSW
Social Worker (Clinical)
4094 MAJESTIC LN, #237
FAIRFAX, VA 22033
Fairfax County (703) 449-1944
DR. WILLIAM GASTON EVERHART D.MIN., MA, LPC
Counselor (Professional)
4094 MAJESTIC LN, BOX #237
FAIRFAX, VA 22033
Fairfax County (540) 335-2338
MS. TARA A ELKINS PA-C
Physician Assistant
4094 MAJESTIC LN, PMB: #298
FAIRFAX, VA 22033
Fairfax County (703) 631-1745

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 Anna Bonicky's NPI number?

The NPI number for Anna Bonicky is 1265979678. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Anna Bonicky located?

Anna Bonicky practices at 4094 Majestic Ln Suite 298, Fairfax, VA 22033. The listed phone number is (703) 631-1745.

What is Anna Bonicky's specialty?

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

Is Anna Bonicky enrolled in Medicare?

Yes. Anna Bonicky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Bonicky was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.