Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679678338 Individual Practitioner Male Practitioner

Dr. Matthew J Bonanno , MD

Surgery - Plastic and Reconstructive Surgery • Venice, FL

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Bonanno, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Venice, FL. Practice services are available at 1295 JACARANDA BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1295 Jacaranda Blvd

Venice, FL 342924522

Telephone 9414841510
Fax 9414841071

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Venice, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Venice, FL (258 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
35 33 $91.53 $42.13
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
19 19 $1644.64 $751.74

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL ME88794

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Fl Medical License
ME88794 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1013981364

Doctor of Medicine (M.D.)

NPI 1407308729

Physician Assistant

NPI 1720189657

Doctor of Medicine (M.D.)

Michael Banuchi , PA-C

Physician Assistant

NPI 1851472187

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2016

Registered at 1295 JACARANDA BLVD, VENICE, FL 342924522 (Tel: 9414841510)

📍
Updated Business Mailing Address June 01, 2016

Registered at 15051 S TAMIAMI TRL, SUITE 203, FORT MYERS, FL 339085182 (Tel: 2394378810)

👤
Provider Name / Credentials Updated June 01, 2016

Recorded as MATTHEW BONANNO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2016

Surgery (License #ME88794 in FL)

🟢
Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Matthew Bonanno. Be the first to share your experience!

Sign in to leave a review for Dr. Matthew Bonanno

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679678338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: June 01, 2016
Sole Proprietor: No

Mailing Address

15051 S Tamiami Trl, Suite 203

Fort Myers, FL 339085182

Phone: 2394378810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.