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BONNI NICOLE HEITHOLD M.D.
NPI 1265720106
Pediatrics in Columbia, MO

Active since July 13, 2011PECOS Enrolled
1 HOSPITAL DRIVE, COLUMBIA, MO 65212(573) 882-4438(573) 884-9992 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bonni Nicole Heithold M.d. NPPES

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

BONNI NICOLE HEITHOLD M.D. (NPI 1265720106) is an individual pediatrics provider in Columbia, Missouri, licensed in Missouri (2011017906) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265720106
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBONNI NICOLE HEITHOLDCredential: M.D.
Location Address1 HOSPITAL DRIVEColumbia, MO 65212
Mailing Address1 Hospital DriveColumbia, MO 65212 · (573) 882-4438 · Fax (573) 884-9992
Phone(573) 882-4438
Fax(573) 884-9992
Sole ProprietorYes
Enumeration DateJuly 13, 2011
✔ NPI 1265720106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2011017906
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 HOSPITAL DRIVE, Columbia, MO 65212
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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, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonni Nicole Heithold M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bonni Heithold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Big Tree Medical Group LLC
3.0 mi
Family Medicine
200 CORPORATE LAKE DR
Columbia, MO 65203
  • Reassigned Medicare billing, Missouri enrollment
  • 12 clinicians in this Medicare group
NPI 1740858562 (573) 814-1170

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

MEGAN GILLESPIE MD
Otolaryngology
1 HOSPITAL DRIVE, MA314 / DC027.00
COLUMBIA, MO 65212
Boone County (573) 882-7935
DR. PATRICE DELAFONTAINE M.D.
Internal Medicine (Cardiovascular Disease)
1 HOSPITAL DRIVE
COLUMBIA, MO 65212
Boone County (573) 884-3278
EVAN JAMES WETHINGTON MD
Anesthesiology
1 HOSPITAL DRIVE, HSL152
COLUMBIA, MO 65212
Boone County (573) 884-3466
SUMA GONDI
Student in an Organized Health Care Education/Training Program
1 HOSPITAL DRIVE
COLUMBIA, MO 65212
Boone County (573) 884-7886
ROSS STRATTON SMITH MD
Psychiatry & Neurology (Neurology)
1 HOSPITAL DRIVE, CE515, CS&E BUILDING
COLUMBIA, MO 65212
Boone County (573) 882-1515
DEREK HEIL
Emergency Medicine
1 HOSPITAL DRIVE
COLUMBIA, MO 65212
Boone County (573) 884-4141
MARY L CUNNINGHAM APRN
Clinical Nurse Specialist (Oncology)
1 HOSPITAL DRIVE
COLUMBIA, MO 65212
Boone County (573) 884-0771
DR. HUNTER MICHAEL PUCKETT MD
Internal Medicine
1 HOSPITAL DRIVE, DC 043.00
COLUMBIA, MO 65212
Boone County (573) 884-1606

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 Bonni Heithold's NPI number?

The NPI number for Bonni Heithold is 1265720106. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Where is Bonni Heithold located?

Bonni Heithold practices at 1 Hospital Drive, Columbia, MO 65212. The listed phone number is (573) 882-4438.

What is Bonni Heithold's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bonni Heithold enrolled in Medicare?

Yes. Bonni Heithold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bonni Heithold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonni Heithold reassigns Medicare benefits to Big Tree Medical Group LLC (Columbia, MO). 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 Bonni Heithold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bonni Heithold accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Bonni Heithold 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.

When was this NPI record last updated?

The NPPES record for Bonni Heithold was last updated on July 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.