HILLARY LANE BOWNIK M.D
NPI 1013147206
Internal Medicine - Gastroenterology in Kansas City, MO

Q: What is Hillary Bownik's NPI number?

The NPI number for Hillary Bownik is 1013147206. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Q: What is Hillary Bownik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Hillary Bownik was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment

75.23/100

CMS Quality Rating

4321 WASHINGTON ST STE 5600, KANSAS CITY, MO 64111(816) 561-2000(816) 932-7559 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Mar 2, 2023, Jan 28, 2020 (3 updates tracked since 2020).

On this page

About Hillary Lane Bownik M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HILLARY LANE BOWNIK M.D (NPI 1013147206) is an individual gastroenterology provider in Kansas City, Missouri, licensed in Missouri (2015039913) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Menorah Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013147206

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameHILLARY LANE BOWNIKCredential: M.D

Location Address4321 WASHINGTON ST STE 5600Kansas City, MO 64111-5936

Mailing Address4321 Washington St Ste 5600Kansas City, MO 64111-5936 · (816) 561-2000 · Fax (816) 932-7559

Phone(816) 561-2000

Fax(816) 932-7559

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2007

Enumeration DateJuly 22, 2009

Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1013147206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in MO · 2015039913✔ Licensed in PA · MD440215✔ Licensed in CA · A107916

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License A107916 (CA)

4321 WASHINGTON ST STE 5600, Kansas City, MO 64111

Open in Google Maps ↗

Secondary Practice Locations 2

Location 14321 Washington St Ste 5700Kansas City, MO 64111-5932 · Phone (816) 561-2000 · Fax (816) 931-7559

Location 25701 W 119th St Ste 325Overland Park, KS 66209-3721 · Phone (816) 561-2000 · Fax (816) 931-7559

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hillary Lane Bownik M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668652413

PECOS Enrollment IDI20160329001482

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Hillary Bownik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid America Gastro Intestinal Consultants P C

0.1 mi

Gastroenterology

4321 WASHINGTON ST, SUITE 5600
Kansas City, MO 64111

Reassigned Medicare billing, Missouri enrollment
7 clinicians in this Medicare group

NPI 1710091228 (816) 561-2000

Saint Luke's Physician Group Inc

7.5 mi

Family Medicine

901 E 104TH ST, MS 400N
Kansas City, MO 64131

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Saint Lukes Physician Group Inc
1,339 clinicians in this Medicare group

NPI 1093263717 (816) 502-8782

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, vedolizumab, intravenous, 1 mg J3380

Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.

48,301 services18 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

4,700 services12 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

179 services23 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

151 services18 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

136 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

128 services115 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

109 services104 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

107 services107 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

104 services100 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

82 services32 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

77 services13 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

69 services67 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

64 services59 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

28 services28 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 patients

Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065

This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170182

Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County

Emergency services

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170185

Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County

Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260062

Location5830 N W Barry RoadKansas City, MO 64154 · Platte County

Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260216

Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.93

Promoting Interoperability

100

Improvement Activities

Cost

28.5

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY L CRUSE APRN

Nurse Practitioner (Family)

4321 WASHINGTON ST STE 5600
KANSAS CITY, MO 64111

Jackson County (816) 561-2000

DR. SAKHER M ALBADARIN M.D.

Internal Medicine (Gastroenterology)

4321 WASHINGTON ST STE 5600
KANSAS CITY, MO 64111

Jackson County (816) 561-2000

DR. CHARLES WILLIAM MCMAHON M.D.

Internal Medicine (Gastroenterology)

4321 WASHINGTON ST STE 5600
KANSAS CITY, MO 64111

Jackson County (816) 561-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hillary Bownik's NPI number?

The NPI number for Hillary Bownik is 1013147206. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Hillary Bownik located?

Hillary Bownik practices at 4321 Washington St Ste 5600, Kansas City, MO 64111. The listed phone number is (816) 561-2000.

What is Hillary Bownik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hillary Bownik enrolled in Medicare?

Yes. Hillary Bownik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hillary Bownik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hillary Bownik reassigns Medicare benefits to 2 organizations: Mid America Gastro Intestinal Consultants P C (Kansas City, MO) and Saint Luke's Physician Group Inc (Kansas City, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hillary Bownik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hillary Bownik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Hillary Bownik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hillary Bownik affiliated with any hospitals?

According to CMS data, Hillary Bownik is affiliated with Menorah Medical Center, Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Hillary Bownik was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.