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

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: August 02, 2026.

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

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
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

Accepted 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

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.

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.

Nurse Practitioner (Family)
1011 N HIGHWAY 69
FRONTENAC, KS 66763
Nurse Practitioner (Family)
1011 N HIGHWAY 69
FRONTENAC, KS 66763
Clinic/Center (Rural Health)
1011 N HIGHWAY 69
FRONTENAC, KS 66763

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.

What insurance does Dustin Bonzo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers 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.