Matthew Eugene Bonaventure, P.A-C
NPI 1104182195ActiveIndividual· Physician Assistant, Medical· Fuquay Varina, NC
Physician Assistant, Medical (P.A-C) with Active Life Health of Cary PLLC, practicing in Fuquay Varina, North Carolina. In 2024 Medicare paid $14,075 for 65 patients, and Part D covered 57 of their prescriptions, 77% of them generic. Fidia Pharma USA Inc. was the largest of 2 companies reporting payments in 2024, $41.36 in all, mostly food and beverage.
Overview
| NPI | 1104182195 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A-C |
| Sole proprietor | Yes |
| NPI issued | Apr 4, 2012 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Apr 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 0010-13048 | NC |
| Physician Assistant | 363A00000X | 0010-13048 | NC |
| Physician Assistant, Medical | 363AM0700X | 016546 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 2,818 across 18 procedure codes |
| Paid by Medicare | $14,075 |
Part D prescriptions in 2024
| Prescriptions (claims) | 57 · 57 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $458.58 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Active Life Health of Cary PLLCCary, NC · 5 clinicians
Industry payments (Open Payments)
- 2024$41.36 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Fidia Pharma USA Inc. | $22.37 | 1 |
| Lilly USA, LLC | $18.99 | 1 |
What the 2024 payments were for
- Food and Beverage$41.36 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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