MAGGIE M. BONILLA DO
NPI 1649705492
Family Medicine in Ontario, OR

Active since April 28, 2017PECOS Enrolled
840 SW 4TH AVE STE 105, ONTARIO, OR 97914(541) 881-2800(541) 881-2825 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Jul 18, 2024, May 17, 2023 and 4 more (7 updates tracked since 2017).

About Maggie M. Bonilla Do NPPES

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

MAGGIE M. BONILLA DO (NPI 1649705492) is an individual family medicine provider in Ontario, Oregon, licensed in Oregon (DO219284) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cortez.

NPPES Registry Identity

NPI1649705492
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMAGGIE M. BONILLACredential: DO
Location Address840 SW 4TH AVE STE 105Ontario, OR 97914-2638
Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-9376 · Fax (208) 642-9598
Fax(541) 881-2825
Sole ProprietorNo
Enumeration DateApril 28, 2017
Last NPPES UpdateJune 22, 20267 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1649705492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · DO219284
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License 14735A (WY), DR.0077607 (CO)
840 SW 4TH AVE STE 105, Ontario, OR 97914

Other Names 1

Former Name (1)Maggie Gerk

Secondary Practice Location 1

Location 11311 N Mildred RdCortez, CO 81321-2231 · Phone (970) 565-6666

Other Identifiers 1

Medicaid500840592OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maggie M. Bonilla Do 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.

Medicare Billing Reassignments

2

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

Federally Qualified Health Center (FQHC)
840 SW 4TH AVE STE 105
Ontario, OR 97914
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group
Rural Health
601 CENTRAL AVE
Dolores, CO 81323
  • Reassigned Medicare billing, Colorado enrollment
  • 97 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97914 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Pediatrics)
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Clinic/Center (Federally Qualified Health Center (FQHC))
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
General Practice
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Pediatrics
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE STE 105
ONTARIO, OR 97914
Family Medicine
840 SW 4TH AVE STE 105
ONTARIO, OR 97914

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 Maggie Bonilla's NPI number?

The NPI number for Maggie Bonilla is 1649705492. It was assigned to this individual provider in the NPPES registry on April 28, 2017. The provider is also known as Maggie Gerk.

Where is Maggie Bonilla located?

Maggie Bonilla practices at 840 SW 4th Ave Ste 105, Ontario, OR 97914. The listed phone number is (541) 881-2800.

What is Maggie Bonilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maggie Bonilla enrolled in Medicare?

Yes. Maggie Bonilla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maggie Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maggie Bonilla reassigns Medicare benefits to 2 organizations: Valley Family Health Care, Inc (Ontario, OR) and Southwest Health System, Inc. (Dolores, CO). 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 Maggie Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maggie Bonilla accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 2 other insurers list Maggie Bonilla 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.

When was this NPI record last updated?

The NPPES record for Maggie Bonilla was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.