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MICHAEL BENJAMIN BOHNERT MD
NPI 1053990804
Dermatology in Quincy, IL

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
4800 MAINE ST STE 48-200, QUINCY, IL 62305(217) 214-6250(217) 366-1767 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 7, 2022, Apr 7, 2021 (2 updates tracked since 2021).

About Michael Benjamin Bohnert Md NPPES

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

MICHAEL BENJAMIN BOHNERT MD (NPI 1053990804) is an individual dermatology provider in Quincy, Illinois, licensed in Illinois (036.175801) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (2021).

NPPES Registry Identity

NPI1053990804
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMICHAEL BENJAMIN BOHNERTCredential: MD
Location Address4800 MAINE ST STE 48-200Quincy, IL 62305-5875
Mailing Address4800 Maine St Ste 48-200Quincy, IL 62305-5875 · (217) 214-6250 · Fax (217) 366-1767
Phone(217) 214-6250
Fax(217) 366-1767
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1053990804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036.175801
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4800 MAINE ST STE 48-200, Quincy, IL 62305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Benjamin Bohnert Md 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 ID2264833722
PECOS Enrollment IDI20251106000789
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.

Hospital Affiliations CMS Care Compare 2

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62305 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

STEPHANIE AMBER GRANT
Nurse Practitioner (Family)
4800 MAINE ST STE 48-200
QUINCY, IL 62305
Adams County (217) 223-8400

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 Michael Bohnert's NPI number?

The NPI number for Michael Bohnert is 1053990804. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Michael Bohnert located?

Michael Bohnert practices at 4800 Maine St Ste 48-200, Quincy, IL 62305. The listed phone number is (217) 214-6250.

What is Michael Bohnert's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Bohnert enrolled in Medicare?

Yes. Michael Bohnert 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.

What insurance does Michael Bohnert accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Bohnert 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 Michael Bohnert affiliated with any hospitals?

According to CMS data, Michael Bohnert is affiliated with Blessing Hospital and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Bohnert was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.