DUSTIN LEE BONZO MD
NPI 1154884799
Family Medicine in Frontenac, KS

Q: What is Dustin Bonzo's NPI number?

The NPI number for Dustin Bonzo is 1154884799. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Dustin Bonzo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Bonzo was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment

1011 N HIGHWAY 69, FRONTENAC, KS 66763(620) 235-1377 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2022, Sep 17, 2021, Sep 7, 2021 and 1 more (4 updates tracked since 2019).

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About Dustin Lee Bonzo Md NPPES

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

DUSTIN LEE BONZO MD (NPI 1154884799) is an individual family medicine provider in Frontenac, Kansas, licensed in Kansas (04-44000) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2019).

NPPES Registry Identity

NPI1154884799

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDUSTIN LEE BONZOCredential: MD

Location Address1011 N HIGHWAY 69Frontenac, KS 66763-8100

Mailing Address302 N Hospital DrGirard, KS 66743-2000 · (620) 724-8291

Phone(620) 235-1377

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateJuly 29, 20224 updates tracked since enumeration

NPPES CertifiedJuly 29, 2022

✔ NPI 1154884799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 04-44000

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1011 N HIGHWAY 69, Frontenac, KS 66763

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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

Dustin Lee Bonzo 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 ID345574489

PECOS Enrollment IDI20210901003193

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 Reassignment

Medicare enrollment records show Dustin Bonzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital District No 1 Crawford County

6.0 mi

Family Medicine

419 E WASHINGTON
Arma, KS 66712

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1578505095 (Kansas)
54 clinicians in this Medicare group

NPI 1649597147 (620) 347-4711

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 4

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170006

Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County

Emergency services Birthing friendly

Girard Medical Center

Critical Access Hospitals · Girard, KS

OwnershipGovernment - Hospital District or Authority

CMS Certification Number171376

Location302 North Hospital DriveGirard, KS 66743 · Crawford County

Emergency services

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260137

Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66763 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims22 services$2.38 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier18 claims20 services$6.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers28 claims31 services$119.24 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$38.32 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers28 claims28 services$196.34 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers15 claims15 services$22.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. CARRIE LYNN FARRINGTON ARNP

Nurse Practitioner (Family)

1011 N HIGHWAY 69
FRONTENAC, KS 66763

Crawford County (620) 235-1377

KIMBERLY OBRIEN WOOD APRN-BC

Nurse Practitioner (Family)

1011 N HIGHWAY 69
FRONTENAC, KS 66763

Crawford County (620) 235-1377

HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY

Clinic/Center (Rural Health)

1011 N HIGHWAY 69
FRONTENAC, KS 66763

Crawford County (620) 235-1377

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 Dustin Bonzo's NPI number?

The NPI number for Dustin Bonzo is 1154884799. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Dustin Bonzo located?

Dustin Bonzo practices at 1011 N Highway 69, Frontenac, KS 66763. The listed phone number is (620) 235-1377.

What is Dustin Bonzo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dustin Bonzo enrolled in Medicare?

Yes. Dustin Bonzo 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 Dustin Bonzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Bonzo reassigns Medicare benefits to Hospital District No 1 Crawford County (Arma, KS). 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 Dustin Bonzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Bonzo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Dustin Bonzo 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 Dustin Bonzo affiliated with any hospitals?

According to CMS data, Dustin Bonzo is affiliated with Via Christi Hospital Pittsburg Inc, Girard Medical Center, Mercy Hospital Joplin and Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Dustin Bonzo was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.