Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Alonso Bolivar , PA-C

Physician Assistant โ€ข Dedham, MA

Active NPI 1649941709 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

983 Boston-Providence Turnpike
Dedham, MA 02026

Call 7818196400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

983 Boston-Providence Turnpike

Dedham, MA 02026

Telephone 7818196400
Organization at the Same NPPES Address or Phone
Convenientmd Llc Facility NPI 1649879651

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Convenientmd - Ffs Uc Llc; Physicians Immediate Care North Chicago Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Medicare patients

300 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $41,111 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $28,613 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

265 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,546 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alonso Bolivar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alonso Bolivar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dedham and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Dedham, MA (2024, 12 clinicians with data). Median for this group: 382. Middle half: 230 to 495.

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Dedham, MA (2024, 12 clinicians with data). Median for this group: $30,592. Middle half: $18,452 to $37,359.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Dedham, MA (2024, 12 clinicians with data). Median for this group: $22,086. Middle half: $11,937 to $27,164.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.

Too few clinicians listed under Physician Assistant in Dedham have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.

Too few clinicians listed under Physician Assistant in Dedham have Medicare Part D data for 2024 to compare.

18 active clinicians are listed under Physician Assistant with a practice address in Dedham, MA (4,715 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dedham

16.7% of these 18 clinicians have the CMS telehealth indicator.

61.1% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 54 327 $269.62 53
Prednisone Prednisone 43 290 $112.02 42
Azithromycin Azithromycin 34 140 $135.60 34
Albuterol Sulfate Hfa Albuterol Sulfate 29 608 $719.13 29
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 26 146 $236.05 26
Doxycycline Monohydrate Doxycycline Monohydrate 20 130 $220.18 20
Cefpodoxime Proxetil Cefpodoxime Proxetil 18 133 $633.86 18
Amoxicillin Amoxicillin 14 140 $22.21 14
Ofloxacin Ofloxacin 14 131 $145.34 14
Cephalexin Cephalexin 13 72 $52.04 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250910003207

Enrollment State Jurisdiction

IL

PECOS Control ID

9133598097

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Dustin Cotliar , MD

Emergency Medicine

NPI 1649665233

Doctor of Medicine (M.D.)

Olivia Edwards , PA-C

Physician Assistant

NPI 1336825975

Physician Assistant (Certified)

Lindsay Farina , FNP-C

Nurse Practitioner - Family

NPI 1689346389

Family Nurse Practitioner (Certified)

Daniel Gold , PA-C

Physician Assistant

NPI 1003515321

Physician Assistant (Certified)

Adam Rodman , FNP-BC

Physician Assistant

NPI 1780681536

Family Nurse Practitioner (Board Certified)

Carson Wagor , PA-C

Physician Assistant

NPI 1346913399

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Business Mailing Address November 14, 2023

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

๐Ÿ‘ค
Provider Name / Credentials Updated November 14, 2023

Recorded as ALONSO BOLIVAR, PA-C

๐Ÿ“
Updated Practice Location November 29, 2022

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

๐Ÿ“
Updated Business Mailing Address November 29, 2022

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2022

Physician Assistant (license number reported to NPPES: MA PA9018)

โœ…
NPI Profile Active September 27, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 27, 2021

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

๐Ÿ“
Business Mailing Address (Initial Record) September 27, 2021

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 27, 2021

Recorded as ALONSO BOLIVAR

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration September 27, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

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

Other Physician Assistants in Dedham

All Physician Assistants in Dedham

Mailing Address

360 Us Highway 1 Byp Unit 102

Portsmouth, NH 038017105

Phone: 6034106700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.