Active NPI 1366547358 Individual Practitioner Female Practitioner

Susan M Bordonaro , DCNP

Nurse Practitioner • Middletown, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susan Bordonaro, DCNP is a certified Nurse Practitioner practicing in Middletown, RI. With approximately 27 years of clinical experience since completing medical education in 1999, Susan Bordonaro delivers high-quality medical care to the local community at 102 VALLEY RD.

Susan Bordonaro is affiliated with Dartmouth Dermatology Associates, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 Valley Rd

Middletown, RI 028425237

Telephone 4012391800

Fax 4012391801

Associated Practice Facility / Clinic

🏢 Aspire Dermatology Llc Facility NPI 1700176849

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Middletown, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +15.1 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Middletown, RI (397 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bordonaro (27 Years) 27 Yrs

Middletown Specialty Average (11.9 Years) 11.9 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
17003 Destruction of precancer skin growth, 2-14 growths	560	116	$50.00	$5.86
99213 Established patient office or other outpatient visit, typically 15 minutes	378	287	$263.49	$78.28
17000 Destruction of skin growth	249	178	$181.63	$47.66
11102 Tangential biopsy of single skin lesion	148	135	$250.00	$78.30
17110 Destruction of up to 14 skin growths	131	108	$313.36	$97.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	91	$345.08	$110.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	63	$209.03	$48.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$291.38	$95.83
11103 Biopsy of related skin growth, each additional growth	31	24	$150.00	$43.73
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$238.46	$62.37
11104 Punch biopsy, first skin growth	16	15	$350.00	$105.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$417.86	$135.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	525	104	$50.00	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	361	266	$250.00	$78.46
17000 Destruction of skin growth	214	155	$175.00	$47.36
17110 Destruction of up to 14 skin growths	158	117	$275.00	$100.52
11102 Tangential biopsy of single skin lesion	116	106	$250.00	$80.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	81	$325.00	$110.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	68	$200.00	$49.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$275.00	$97.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$400.00	$144.12
11103 Biopsy of related skin growth, each additional growth	25	22	$150.00	$44.74
11104 Punch biopsy, first skin growth	23	23	$350.00	$112.19
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$225.00	$63.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	377	95	$24.48	$6.10
99213 Established patient office or other outpatient visit, typically 15 minutes	298	267	$199.88	$80.12
17000 Destruction of skin growth	153	142	$146.33	$47.67
17110 Destruction of up to 14 skin growths	104	92	$245.20	$100.49
11102 Tangential biopsy of single skin lesion	74	70	$226.96	$80.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$246.10	$98.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	44	$169.78	$49.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$266.79	$112.99
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$221.91	$64.26
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	14	$191.36	$74.45
11103 Biopsy of related skin growth, each additional growth	14	13	$136.46	$46.09
11104 Punch biopsy, first skin growth	13	13	$283.43	$110.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	671	122	$13.69	$5.85
99213 Established patient office or other outpatient visit, typically 15 minutes	451	311	$172.65	$80.88
17000 Destruction of skin growth	243	181	$131.70	$47.18
17110 Destruction of up to 14 skin growths	137	110	$223.44	$101.32
11102 Tangential biopsy of single skin lesion	93	87	$204.55	$82.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	79	$105.68	$50.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	28	$242.47	$115.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$217.10	$99.75
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	22	20	$203.78	$82.96
11104 Punch biopsy, first skin growth	20	20	$256.60	$117.90
11103 Biopsy of related skin growth, each additional growth	20	18	$104.03	$45.41
11105 Punch biopsy, each additional skin growth	17	16	$120.10	$55.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	551	109	$20.23	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	400	300	$141.86	$66.92
17000 Destruction of skin growth	222	166	$148.23	$46.39
17110 Destruction of up to 14 skin growths	104	92	$220.39	$100.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	64	$85.40	$40.65
11102 Tangential biopsy of single skin lesion	61	55	$172.48	$82.42
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	35	28	$204.14	$64.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	11	$10.00	$1.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$208.42	$97.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$208.52	$91.48
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$144.88	$67.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	760	182	$25.93	$4.87
99213 Established patient office or other outpatient visit, typically 15 minutes	506	422	$144.15	$63.16
17000 Destruction of skin growth	322	275	$148.49	$46.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	128	$88.03	$38.80
17110 Destruction of up to 14 skin growths	130	119	$210.70	$93.32
11102 Tangential biopsy of single skin lesion	116	114	$147.88	$75.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$206.19	$92.84
11104 Punch biopsy, first skin growth	27	27	$188.64	$107.02
11103 Biopsy of related skin growth, each additional growth	26	20	$87.97	$45.94
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$167.44	$66.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	12	$10.00	$1.56
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	21	18	$204.14	$70.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$203.59	$92.85
11105 Punch biopsy, each additional skin growth	17	13	$100.42	$52.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	417	95	$42.93	$4.64
99213 Established patient office or other outpatient visit, typically 15 minutes	248	196	$151.66	$63.05
17000 Destruction of skin growth	210	145	$149.41	$48.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	153	113	$96.95	$37.96
11100 Biopsy of single growth of skin and/or tissue	107	93	$214.53	$84.61
17110 Destruction of up to 14 skin growths	87	73	$181.00	$95.68
11101 Biopsy of each additional growth of skin and/or tissue	29	25	$164.15	$27.17
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$178.23	$65.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$189.51	$94.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	384	89	$31.42	$4.95
99213 Established patient office or other outpatient visit, typically 15 minutes	236	194	$148.09	$63.11
17000 Destruction of skin growth	164	130	$148.95	$48.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	83	$93.15	$37.64
11100 Biopsy of single growth of skin and/or tissue	82	77	$209.80	$80.76
17110 Destruction of up to 14 skin growths	76	64	$193.87	$95.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$202.58	$94.36
11101 Biopsy of each additional growth of skin and/or tissue	21	17	$104.48	$28.56
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$160.99	$65.23

Medical Specialties & State Licenses

CMS Verified: 2020-01-30

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI NPP34886

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Clinical Nurse Specialist - Adult Health

NUCC Taxonomy Code: 364SA2200X

State License RI CAPRN00998

Definition to come...

Hospital & Practice Group Affiliations

Dartmouth Dermatology Associates, Pc

368 Faunce Corner Rd, Dartmouth, MA 027471257

Phone: 5089981994

Secondary Practice Locations

1525 Wampanoag Trl Ste 203

Riverside, RI 029151038

Phone: 4012391800

851 Main St

Warren, RI 028854402

Phone: 4012391800

618 Toll Gate Rd

Warwick, RI 028862717

Phone: 4012391800

67 William S Canning Blvd

Tiverton, RI 028783003

Phone: 4012391800

1524 Atwood Ave Ste 321

Johnston, RI 029193228

Phone: 4012391800

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Tal Buntinx , MD

Dermatology

NPI 1013446590

Doctor of Medicine (M.D.)

Ashley Ferreira , FNP-BC

Nurse Practitioner - Family

NPI 1023796703

Family Nurse Practitioner (Board Certified)

Chelsea Culhane

Nurse Practitioner

NPI 1063175966

Amanda Fredette , PA-C

Physician Assistant

NPI 1083173421

Physician Assistant (Certified)

Dr. Antoine Salloum , MD

Dermatology

NPI 1134790157

Doctor of Medicine (M.D.)

Rebbecca Shea , PA-C

Physician Assistant - Medical

NPI 1164877486

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 30, 2020

Registered at 102 VALLEY RD, MIDDLETOWN, RI 028425237 (Tel: 4012391800)

📍

Updated Business Mailing Address January 30, 2020

Registered at 102 VALLEY RD, MIDDLETOWN, RI 028425237 (Tel: 4012391800)

👤

Provider Name / Credentials Updated January 30, 2020

Recorded as SUSAN BORDONARO, DCNP

✅

NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2016

Registered at 525 BROAD ST, SUITE 201, CUMBERLAND, RI 028646919 (Tel: 4017247800)

📍

Updated Business Mailing Address March 02, 2016

Registered at 525 BROAD ST, SUITE 201, CUMBERLAND, RI 028646919 (Tel: 4017247800)

👤

Provider Name / Credentials Updated March 02, 2016

Recorded as SUSAN BORDONARO, R.N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Nurse Practitioner (License #NPP34886 in RI)

🟢

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

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NPI Administrative Meta

NPI Number: 1366547358

Entity Type:

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

Enumeration Date: September 14, 2006

Last Update: January 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

102 Valley Rd

Middletown, RI 028425237

Phone: 4012391800

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

⚠️ Medical Disclaimer

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