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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BONNIE SMITH M.D.
NPI 1306865084
Family Medicine in Peoria, IL

Active since July 19, 2006PECOS Enrolled
1701 W GARDEN ST, PEORIA, IL 61605(309) 680-7600(309) 680-7686 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bonnie Smith M.d. NPPES

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

DR. BONNIE SMITH M.D. (NPI 1306865084) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036091686) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1306865084
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BONNIE SMITHCredential: M.D.
Location Address1701 W GARDEN STPeoria, IL 61605-3531
Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 495-8644 · Fax (309) 681-8443
Phone(309) 680-7600
Fax(309) 680-7686
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1306865084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036091686
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.
1701 W GARDEN ST, Peoria, IL 61605
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Secondary Practice Location 1

Location 11005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-8400 · Fax (217) 277-3960

Other Identifiers 1

Medicaid036091686IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bonnie Smith 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 Bonnie Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corp.
19 mi
Medicare Defined Swing Bed Unit
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1295066983 (309) 467-2371

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 61605 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 14

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

SARAH R KOSCICA MD
Family Medicine
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
EDWARD E ETHERTON NP
Nurse Practitioner
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
MARCUS ISMEDHI MUTIDJO APN
Nurse Practitioner (Family)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
DAVID L GORENZ M.D.
Internal Medicine (Pulmonary Disease)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
HEARTLAND COMMUNITY HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
BRADEN WILLIAMS PA
Physician Assistant
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
ANGELA WILSON PMHNP-BC
Registered Nurse (Psychiatric/Mental Health)
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600
GREGG D STONER MD
Family Medicine
1701 W GARDEN ST
PEORIA, IL 61605
Peoria County (309) 680-7600

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 1306865084. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Bonnie Smith located?

Bonnie Smith practices at 1701 W Garden St, Peoria, IL 61605. The listed phone number is (309) 680-7600.

What is Bonnie Smith's specialty?

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

Is Bonnie Smith enrolled in Medicare?

Yes. Bonnie Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bonnie Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Smith reassigns Medicare benefits to Advocate Health And Hospitals Corp. (Eureka, 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 Bonnie Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bonnie Smith was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.