Alonso Bolivar, PA-C
NPI 1649941709ActiveIndividual· Physician Assistant· Dedham, MA
Physician Assistant (PA-C) with Physicians Immediate Care North Chicago LLC, practicing in Dedham, Massachusetts. 300 Medicare patients in 2024, $30,355 paid; nearly all of their 328 Part D prescriptions were generic (91%).
Overview
| NPI | 1649941709 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 27, 2021 |
| Last updated in NPPES | Nov 14, 2023 |
| Certified by provider | Nov 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9018 | MA |
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 (IL); Practitioner - Physician Assistant (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 300 |
|---|---|
| Services billed | 564 across 39 procedure codes |
| Paid by Medicare | $30,355 |
Part D prescriptions in 2024
| Prescriptions (claims) | 328 · 330 30-day fills |
|---|---|
| Patients | 236 |
| Total drug cost | $3,180 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Physicians Immediate Care North Chicago LLCAurora, IL · 257 clinicians
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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All 20 physician assistants in Dedham · All physician assistants in Massachusetts