Charles Edward Bonfanti, PA
NPI 1295792570ActiveIndividual· Physician Assistant· Taos, NM
Physician Assistant (PA) with Family Practice Associates of Taos, practicing in Taos, New Mexico. Part D covered 1,310 prescriptions written in 2024, 91% of them generic. Lists Holy Cross Hospital A Div of Taos Health Systems as a hospital affiliation.
Overview
| NPI | 1295792570 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Apr 28, 2006 |
| Last updated in NPPES | Feb 3, 2017 |
| Reactivated | Aug 3, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 75-PA002 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NM) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,310 · 2,286 30-day fills |
|---|---|
| Patients | 377 |
| Total drug cost | $52,155 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1975 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Family Practice Associates of TaosTaos, NM · 2 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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