1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Physician Assistant
  6. NPI Profile

MR. MICHAEL ROBERT BONISA PA-C
NPI 1760444723
Physician Assistant in Charlotte, NC

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
81.87/100
CMS Quality Rating
3623 LATROBE DR, SUITE 216, CHARLOTTE, NC 28211(704) 332-1291(704) 332-5206 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2023, Sep 12, 2020, Jun 29, 2018 (3 updates tracked since 2018).

About Mr. Michael Robert Bonisa Pa-c NPPES

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

MR. MICHAEL ROBERT BONISA PA-C (NPI 1760444723) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (000102829) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1760444723
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL ROBERT BONISACredential: PA-C
Location Address3623 LATROBE DR, SUITE 216Charlotte, NC 28211
Mailing AddressPo Box 221249Charlotte, NC 28222-1249 · (704) 332-1291 · Fax (704) 332-5206
Phone(704) 332-1291
Fax(704) 332-5206
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 5, 2006
Last NPPES UpdateFebruary 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1760444723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 000102829
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.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 000102829 (NC)
3623 LATROBE DR, Charlotte, NC 28211
Open in Google Maps ↗

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

Mr. Michael Robert Bonisa 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 ID2163470113
PECOS Enrollment IDI20050106000768
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services22 patients
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

81.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost39.58

Other Providers at the Same Location NPPES 20

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

DR. JOHN WILLIAM BLACK M.D.
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Mecklenburg County (704) 332-1291
DR. DAVID MATTHEW SCOVILL M.D.
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Mecklenburg County (704) 332-1291
DR. BRIAN HUGH HAMILTON M.D.
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Mecklenburg County (704) 332-1291
DR. GREGORY JUSTIN JOSEPH M.D.
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Mecklenburg County (704) 332-1291
PROGRESSIVE CARE LLC
In Home Supportive Care
3623 LATROBE DR, SUITE 105
CHARLOTTE, NC 28211
Mecklenburg County (704) 258-5003
DR. BENNETT ROY HOLLENBERG M.D.
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Mecklenburg County (704) 332-1291
DR. PAMELA J WRIGHT-ETTER MD
Psychiatry & Neurology (Forensic Psychiatry)
3623 LATROBE DR, SUITE 121
CHARLOTTE, NC 28211
Mecklenburg County (704) 375-7579
ASHESH SHIRISH PARIKH MD
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Mecklenburg County (704) 332-1291

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 Michael Bonisa's NPI number?

The NPI number for Michael Bonisa is 1760444723. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Michael Bonisa located?

Michael Bonisa practices at 3623 Latrobe Dr Suite 216, Charlotte, NC 28211. The listed phone number is (704) 332-1291.

What is Michael Bonisa's specialty?

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

Is Michael Bonisa enrolled in Medicare?

Yes. Michael Bonisa 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 Michael Bonisa affiliated with any hospitals?

According to CMS data, Michael Bonisa is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Bonisa was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.