Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649941709 Individual Practitioner Male Practitioner

Alonso Bolivar , PA-C

Physician Assistant • Dedham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alonso Bolivar, PA-C is a certified Physician Assistant practicing in Dedham, MA. With approximately 4 years of clinical experience since completing medical education in 2022, Alonso Bolivar delivers high-quality medical care to the local community at 983 BOSTON-PROVIDENCE TURNPIKE.

Alonso Bolivar maintains professional affiliations with Convenientmd - Ffs Uc Llc, Physicians Immediate Care North Chicago Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

983 Boston-Providence Turnpike

Dedham, MA 02026

Telephone 7818196400
Associated Practice Facility / Clinic
🏢 Convenientmd Llc Facility NPI 1649879651

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dedham, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Dedham, MA (4746 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bolivar (4 Years) 4 Yrs
Dedham Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
133 133 $324.26 $149.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
88 88 $214.52 $113.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
55 55 $213.60 $98.18
81003 Automated urinalysis test
39 38 $50.00 $2.20
87804 Detection test by immunoassay with direct visual observation for influenza virus
36 18 $71.00 $16.22
71046 X-ray of chest, 2 views
34 34 $66.74 $30.84
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
34 33 $50.00 $34.62
99213 Established patient office or other outpatient visit, typically 15 minutes
31 31 $143.34 $81.40
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
29 29 $66.00 $16.20

Medical Specialties & State Licenses

CMS Verified: 2023-11-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA9018

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.

Hospital & Practice Group Affiliations

Convenientmd - Ffs Uc Llc

245 Hartford Ave, Bellingham, MA 020193007

Phone: 7742954355

Physicians Immediate Care North Chicago Llc

8630 W Golf Rd, Niles, IL 607145600

Phone: 8472990009

Physicians Immediate Care North Chicago Llc

5228 N Northwest Hwy, Chicago, IL 606304620

Phone: 7737704707

Physicians Immediate Care North Chicago Llc

1702 N Milwaukee Ave, Chicago, IL 606475424

Phone: 7737704056

Physicians Immediate Care North Chicago Llc

1420 Busse Rd, Elk Grove Village, IL 600075324

Phone: 8476530142

Physicians Immediate Care North Chicago Llc

5961 N Lincoln Ave, Chicago, IL 606593758

Phone: 3127023923

Physicians Immediate Care North Chicago Llc

4211 N Cicero Ave, Chicago, IL 606411651

Phone: 7737941000

Physicians Immediate Care North Chicago Llc

7425 Barrington Rd, Hanover Park, IL 601332241

Phone: 6308230392

Convenientmd - Ffs Uc Llc

40 Davis Straits, Falmouth, MA 025403906

Phone: 7742553010

Physicians Immediate Care North Chicago Llc

405 W Golf Rd, Schaumburg, IL 601953501

Phone: 2242150011

Convenientmd - Ffs Uc Llc

86 Taunton St, Plainville, MA 027622131

Phone: 5089285211

Physicians Immediate Care North Chicago Llc

4900 N Cumberland Ave, Norridge, IL 607062901

Phone: 7084561600

Physicians Immediate Care North Chicago Llc

3909 N Western Ave, Chicago, IL 606183741

Phone: 7737399200

Physicians Immediate Care North Chicago Llc

6140 N Broadway St, Chicago, IL 606602538

Phone: 7734359028

Practice Associates & Co-Workers

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

6 Associated Practitioners
Daniel Gold , PA-C

Physician Assistant

NPI 1003515321

Physician Assistant (Certified)

Olivia Edwards , PA-C

Physician Assistant

NPI 1336825975

Physician Assistant (Certified)

Carson Wagor , PA-C

Physician Assistant

NPI 1346913399

Physician Assistant (Certified)

Dr. Dustin Cotliar , MD

Emergency Medicine

NPI 1649665233

Doctor of Medicine (M.D.)

Lindsay Farina , FNP-C

Nurse Practitioner - Family

NPI 1689346389

Family Nurse Practitioner (Certified)

Adam Rodman , FNP-BC

Physician Assistant

NPI 1780681536

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address November 14, 2023

Registered at 360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 038017105 (Tel: 6034106700)

👤
Provider Name / Credentials Updated November 14, 2023

Recorded as ALONSO BOLIVAR, PA-C

📍
Updated Practice Location November 29, 2022

Registered at 983 BOSTON-PROVIDENCE TURNPIKE, DEDHAM, MA 02026 (Tel: 7818196400)

📍
Updated Business Mailing Address November 29, 2022

Registered at 983 BOSTON-PROVIDENCE TURNPIKE, DEDHAM, MA 02026 (Tel: 7818196400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2022

Physician Assistant (License #PA9018 in MA)

NPI Profile Active September 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2021

Registered at 360 HUNTINGTON AVE, BOSTON, MA 021155005 (Tel: 6173732000)

📍
Updated Business Mailing Address September 27, 2021

Registered at 5000 NW 3RD TER, BOCA RATON, FL 334314767 (Tel: 5614308384)

👤
Provider Name / Credentials Updated September 27, 2021

Recorded as ALONSO BOLIVAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649941709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2021
Last Update: November 14, 2023
Sole Proprietor: No

Mailing Address

360 Us Highway 1 Byp Unit 102

Portsmouth, NH 038017105

Phone: 6034106700

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.