Active NPI 1386901015 Individual Practitioner Female Practitioner

Dr. Gwen Lindsey Bonner , MD

Surgery • Potsdam, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gwen Bonner, MD is a certified Surgery practicing in Potsdam, NY. With approximately 14 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 2012, Dr. Bonner delivers high-quality medical care to the local community at 50 LEROY ST.

Dr. Bonner is affiliated with Canton-Potsdam Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

50 Leroy St

Potsdam, NY 136761786

Telephone 3152653300

Fax 3153790849

Associated Practice Facility / Clinic

🏢 St Lawrence Radiology Assoc Pc Facility NPI 1154380863

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Potsdam, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -14.6 yrs vs City Avg

City Avg: 28.6 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Potsdam, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonner (14 Years) 14 Yrs

Potsdam Specialty Average (28.6 Years) 28.6 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$222.00	$79.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	32	$96.16	$34.59
45380 Biopsy of large bowel using an endoscope	35	33	$1128.94	$121.85
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$222.00	$64.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$1010.46	$101.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$64.72	$48.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$273.13	$130.31
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$125.86	$46.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$294.00	$95.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$1167.95	$223.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$219.16	$79.37
99213 Established patient office or other outpatient visit, typically 15 minutes	61	52	$219.79	$61.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$96.16	$34.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$64.72	$47.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$1010.46	$89.51
45380 Biopsy of large bowel using an endoscope	15	15	$1128.94	$119.77
43762 Replacement of stomach stoma tube	12	11	$362.09	$34.96
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$125.25	$46.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$171.11	$80.89
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$128.86	$65.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$82.05	$35.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$66.02	$37.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$155.95	$95.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$1013.78	$110.88
45380 Biopsy of large bowel using an endoscope	13	13	$1126.18	$168.38
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$117.39	$48.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	89	$94.00	$67.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$144.00	$99.24
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$184.00	$99.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$48.00	$35.83
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	12	$385.00	$18.57
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$1564.33	$332.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$203.00	$146.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	74	$94.00	$51.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	33	$73.00	$39.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	33	$48.00	$25.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$144.00	$78.82
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$184.00	$100.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	77	$94.00	$49.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	37	$48.00	$23.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$144.00	$74.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	21	$73.00	$37.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$368.00	$195.34
99238 Hospital discharge day management, 30 minutes or less	18	17	$131.00	$70.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$132.00	$70.32
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	15	$1450.00	$316.36
47562 Removal of gallbladder using an endoscope	13	13	$2904.00	$630.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$94.00	$49.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$147.75	$77.82

Medical Specialties & State Licenses

CMS Verified: 2024-07-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 292640-1

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35.129611

Hospital & Practice Group Affiliations

Canton-Potsdam Hospital

80 E Main St, Canton, NY 136171450

Phone: 3153863300

Secondary Practice Locations

80 E Main St

Canton, NY 136171450

Phone: 3153799460

Practice Associates & Co-Workers

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

40 Associated Practitioners

Julie Lawless , LCSW

Social Worker - Clinical

NPI 1003323593

Licensed Clinical Social Worker

Dr. Kyle Flint , PharmD, RPH

Pharmacist

NPI 1003331240

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Heather Mackinnon

Physician Assistant

NPI 1023460607

Coreen Bohl , MSW, LCSW, ACHP-SW

Social Worker - Clinical

NPI 1033645593

Master of Social Work, Licensed Clinical Social Worker, ACHPSW

Christina Kashmer , PA

Physician Assistant

NPI 1033827282

Physician Assistant

Yasmeen Zaidi , MS

Counselor - Mental Health

NPI 1043701196

Master of Science

Career & Practice History Timeline

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

17 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2024

Surgery (License #35.129611 in OH)

📍

Updated Practice Location March 31, 2021

Registered at 50 LEROY ST, POTSDAM, NY 136761786 (Tel: 3152653300)

📍

Updated Business Mailing Address March 31, 2021

Registered at 50 LEROY ST, POTSDAM, NY 136761786 (Tel: 3152653300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2021

Surgery (License #292640-1 in NY)

📍

Updated Practice Location September 25, 2018

Registered at 80 E MAIN ST, CANTON, NY 136171450 (Tel: 3153799460)

📍

Updated Practice Location September 04, 2018

Registered at 50 LEROY ST, POTSDAM, NY 13676 (Tel: 3152653300)

📍

Updated Business Mailing Address September 04, 2018

Registered at 80 E MAIN ST, CANTON, NY 136171450 (Tel: 3153799460)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2018

Surgery (License #35.129611 in OH)

📍

Updated Practice Location May 31, 2018

Registered at 2401 S 31ST ST, TEMPLE, TX 76508 (Tel: 2547242111)

📍

Updated Business Mailing Address May 31, 2018

Registered at 24 GRANT ST, POTSDAM, NY 136762310 (Tel: 9796906014)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2018

Surgery (License #292640-1 in NY)

✅

NPI Profile Active December 31, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2016

Registered at 2401 S 31ST ST, TEMPLE, TX 765080001 (Tel: 2547242111)

📍

Updated Business Mailing Address December 31, 2016

Registered at 4601 SPANISH OAK RD, TEMPLE, TX 765023018 (Tel: 9796906014)

👤

Provider Name / Credentials Updated December 31, 2016

Recorded as GWEN BONNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2016

Surgery (License #35.129611 in OH)

🟢

Initial NPI Registration & Enumeration April 19, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386901015

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 19, 2012

Last Update: July 10, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

50 Leroy St

Potsdam, NY 136761786

Phone: 3152653300

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.