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

Q: 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.

Q: What is Bonnie Smith'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 Bonnie Smith was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 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 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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.

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 15, 2023

NPPES CertifiedSeptember 15, 2023

✔ 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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Other Identifiers 1

Medicaid036091686IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 11

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

SARAH R KOSCICA MD

Family Medicine