DR. BONNIE R SMITH M.D.
NPI 1073554267
Radiology - Diagnostic Radiology in Jefferson City, MO

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 556-7755(573) 761-3599 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bonnie R Smith M.d. NPPES

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

DR. BONNIE R SMITH M.D. (NPI 1073554267) is an individual diagnostic radiology provider in Jefferson City, Missouri, licensed in Missouri (2005020853) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2001).

NPPES Registry Identity

NPI1073554267
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BONNIE R SMITHCredential: M.D.
Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 556-7755 · Fax (576) 761-3599
Fax(573) 761-3599
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2001
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 12, 2010
NPI 1073554267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MO · 2005020853
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1241 W STADIUM BLVD, Jefferson City, MO 65109

Other Identifiers 5

Medicaid200396604MO
Other751486MO · Healthlink
Medicare UPINI51423MO
Medicare PIN939652682MO
OtherP00317767MO · Railroad Medicare

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

Dr. Bonnie R Smith 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 ID4284643958
PECOS Enrollment IDI20060410000125
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.

Areas of Expertise CMS Part B claims 41

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
624 services624 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
624 services624 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
193 services179 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
150 services138 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
136 services106 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
96 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

Internal Medicine (Pulmonary Disease)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Radiology (Diagnostic Radiology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109

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 Bonnie Smith's NPI number?

The NPI number for Bonnie Smith is 1073554267. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Bonnie Smith located?

Bonnie Smith practices at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 556-7755.

What is Bonnie Smith's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Bonnie Smith enrolled in Medicare?

Yes. Bonnie Smith 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.

When was this NPI record last updated?

The NPPES record for Bonnie Smith was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.