Active NPI 1396045241 Individual Practitioner Male Practitioner

Eddie Amos Bonner , NP

Nurse Practitioner • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Eddie Bonner, NP is a certified Nurse Practitioner practicing in San Angelo, TX. With approximately 16 years of clinical experience since completing medical education in 2010, Eddie Bonner delivers high-quality medical care to the local community at 120 E HARRIS AVE.

Eddie Bonner is affiliated with Shannon Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 E Harris Ave

San Angelo, TX 769035904

Telephone 3256575028

Associated Practice Facility / Clinic

🏢 Shannon Medical Center Facility NPI 1992707228

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Angelo, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +4.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

38 Specialists

Practicing in San Angelo, TX (4894 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonner (16 Years) 16 Yrs

San Angelo Specialty Average (11.6 Years) 11.6 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
99284 Emergency department visit with moderate level of medical decision making	85	83	$232.00	$103.89
99283 Emergency department visit with low level of medical decision making	45	45	$122.00	$61.18
99285 Emergency department visit for life threatening or functioning severity	15	15	$342.00	$151.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$35.00	$6.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	107	101	$230.72	$100.20
99283 Emergency department visit with low level of medical decision making	49	49	$122.00	$59.49
99285 Emergency department visit for life threatening or functioning severity	42	42	$342.00	$145.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	24	$35.00	$6.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	91	89	$342.00	$144.60
99284 Emergency department visit with moderate level of medical decision making	80	80	$232.00	$99.48
99283 Emergency department visit with low level of medical decision making	76	72	$122.00	$58.36
99282 Emergency department visit with straightforward medical decision making	33	31	$82.00	$34.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	92	89	$342.00	$147.91
99284 Emergency department visit with moderate level of medical decision making	87	83	$232.00	$101.41
99283 Emergency department visit with low level of medical decision making	73	71	$122.00	$60.07
99282 Emergency department visit with straightforward medical decision making	26	23	$82.00	$35.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	16	$35.00	$6.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	144	141	$342.00	$144.93
99284 Emergency department visit with moderate level of medical decision making	108	104	$233.02	$100.83
99283 Emergency department visit with low level of medical decision making	84	82	$122.00	$55.20
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	83	82	$35.00	$7.16
99282 Emergency department visit with straightforward medical decision making	20	20	$82.00	$35.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	153	150	$342.00	$142.34
99283 Emergency department visit with low level of medical decision making	132	129	$122.00	$51.73
99284 Emergency department visit with moderate level of medical decision making	132	130	$233.67	$98.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	92	88	$35.00	$7.12
99282 Emergency department visit with straightforward medical decision making	23	23	$82.00	$34.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	150	140	$122.00	$51.54
99284 Emergency department visit with moderate level of medical decision making	142	140	$232.00	$97.73
99285 Emergency department visit for life threatening or functioning severity	123	120	$342.00	$138.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	73	71	$35.00	$7.06
99282 Emergency department visit with straightforward medical decision making	33	32	$82.00	$34.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	200	188	$76.73	$50.50
99284 Emergency department visit with moderate level of medical decision making	163	160	$158.83	$97.08
99285 Emergency department visit for life threatening or functioning severity	92	90	$188.21	$142.54
93042 Interpretation and report of electrical activity of heart using 1-3 leads	61	61	$7.47	$5.86
99282 Emergency department visit with straightforward medical decision making	21	20	$48.73	$34.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	15	$35.00	$7.02

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 680179

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

838N75 (TX)

Hospital & Practice Group Affiliations

Shannon Clinic

120 E Harris Ave, San Angelo, TX 769035904

Phone: 3257476741

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Stephanie Mccann , PharmD

Pharmacist

NPI 1003808965

Doctor of Pharmacy (Pharm.D.)

Dr. Yaseen Saleh , MD

Emergency Medicine

NPI 1013598622

Doctor of Medicine (M.D.)

Dr. Lance Hafter , DO

Emergency Medicine

NPI 1023075009

Doctor of Osteopathic Medicine (D.O.)

Dr. Javier Baez Presser , MD

Internal Medicine

NPI 1023560646

Doctor of Medicine (M.D.)

Dr. Ekemini Usoro , DO

Hospitalist

NPI 1023633492

Doctor of Osteopathic Medicine (D.O.)

Dr. Chiamaka Diala , MD

Internal Medicine

NPI 1063114296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2011

Registered at 120 E HARRIS AVE, SAN ANGELO, TX 769035904 (Tel: 3256575028)

📍

Updated Business Mailing Address June 17, 2011

Registered at 120 E HARRIS AVE, SAN ANGELO, TX 769035904 (Tel: 3256575028)

👤

Provider Name / Credentials Updated June 17, 2011

Recorded as EDDIE BONNER, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2011

Nurse Practitioner (License #680179 in TX)

🟢

Initial NPI Registration & Enumeration October 26, 2010

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: 1396045241

Entity Type:

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

Enumeration Date: October 26, 2010

Last Update: June 17, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 E Harris Ave

San Angelo, TX 769035904

Phone: 3256575028

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.