MICHAEL BENJAMIN BOHNERT MD
NPI 1053990804
Dermatology in Quincy, IL
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Bohnert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Quincy, IL 62301
- Reassigned Medicare billing, Illinois enrollment
- 363 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILSsm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Michael Bohnert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bohnert reassigns Medicare benefits to Blessing Hospital (Quincy, IL). The 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 Michael Bohnert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Bohnert accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers 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 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Michael Benjamin Bohnert, MD · NPI 1053990804
Dermatology physician in Quincy, Illinois. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1053990804 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 036.175801 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4800 MAINE ST STE 48-200, Quincy, IL 62305-5875
- **Phone:** (217) 214-6250 · **Fax:** (217) 366-1767
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Blessing Hospital (NPI 1114471737, Quincy, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053990804) · Data from the CMS NPPES public registry.