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CHARLES EDWARD BONFANTI PA
NPI 1295792570
Physician Assistant in Taos, NM

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
630 PASEO DEL PUEBLO SUR, SUITE 150, TAOS, NM 87571(575) 758-3005(575) 758-7010 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Edward Bonfanti Pa NPPES

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

CHARLES EDWARD BONFANTI PA (NPI 1295792570) is an individual physician assistant in Taos, New Mexico, licensed in New Mexico (75-PA002) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital A Div Of Taos Health Systems, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1295792570
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES EDWARD BONFANTICredential: PA
Location Address630 PASEO DEL PUEBLO SUR, SUITE 150Taos, NM 87571-6070
Mailing AddressPo Box 158, Suite 150Espanola, NM 87532-0158 · (505) 753-7218 · Fax (505) 747-7396
Phone(575) 758-3005
Fax(575) 758-7010
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateApril 28, 2006
Last NPPES UpdateFebruary 3, 2017
✔ NPI 1295792570 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 NM · 75-PA002
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.
630 PASEO DEL PUEBLO SUR, Taos, NM 87571
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Other Identifiers 2

Medicare UPINS93817
Medicare PIN21361852NM

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

Charles Edward Bonfanti Pa 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 ID7517015498
PECOS Enrollment IDI20090504000060
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

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

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number321310
Location1397 Weimer RoadTaos, NM 87571 · Taos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87571 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Reported Quality Measures

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.
100%427 patients5/55-star benchmark: 99%
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.
52%25 patients3/55-star benchmark: 97%
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…
80%25 patients4/55-star benchmark: 100%
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…
12%25 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
16%25 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 12

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

MOUNTAIN HOME HEALTH CARE, INC.
Home Health
630 PASEO DEL PUEBLO SUR, # 180
TAOS, NM 87571
Taos County (505) 758-1024
FAMILY PRACTICE ASSOCIATES
Family Medicine
630 PASEO DEL PUEBLO SUR
TAOS, NM 87571
Taos County (505) 758-3005
BEVERLY ELAINE TEAGLE CNP
Registered Nurse
630 PASEO DEL PUEBLO SUR, SUITE 150
TAOS, NM 87571
Taos County (575) 758-3005
DR. DELORES ANNE ENDRES M.D.
Family Medicine
630 PASEO DEL PUEBLO SUR, SUITE 150
TAOS, NM 87571
Taos County (575) 758-3005
SCHREIBER FAMILY MEDICINE LLC
Family Medicine
630 PASEO DEL PUEBLO SUR, STE. 125
TAOS, NM 87571
Taos County (575) 751-7430
MARC HENRY STEINBERG MD
Family Medicine
630 PASEO DEL PUEBLO SUR, SUITE 150
TAOS, NM 87571
Taos County (575) 758-3005
LUCAS EDWARD SCHREIBER MD
Family Medicine
630 PASEO DEL PUEBLO SUR, SUITE 125
TAOS, NM 87571
Taos County (575) 751-7430
FAMILY PRACTICE ASSOCIATES OF TAOS
Family Medicine
630 PASEO DEL PUEBLO SUR, SUITE 150
TAOS, NM 87571
Taos County (505) 758-3005

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 Charles Bonfanti's NPI number?

The NPI number for Charles Bonfanti is 1295792570. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Charles Bonfanti located?

Charles Bonfanti practices at 630 Paseo Del Pueblo Sur Suite 150, Taos, NM 87571. The listed phone number is (575) 758-3005.

What is Charles Bonfanti's specialty?

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

Is Charles Bonfanti enrolled in Medicare?

Yes. Charles Bonfanti 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 Charles Bonfanti affiliated with any hospitals?

According to CMS data, Charles Bonfanti is affiliated with Holy Cross Hospital A Div Of Taos Health Systems.

When was this NPI record last updated?

The NPPES record for Charles Bonfanti was last updated on February 3, 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.