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DR. KEITH ANTHONY BONACQUISTI MD
NPI 1487773669
Otolaryngology in Scottsbluff, NE

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
4021 AVENUE B, SCOTTSBLUFF, NE 69361(308) 630-1885 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Nov 20, 2025, Jun 10, 2025 and 1 more (4 updates tracked since 2019).

About Dr. Keith Anthony Bonacquisti Md NPPES

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

DR. KEITH ANTHONY BONACQUISTI MD (NPI 1487773669) is an individual otolaryngology provider in Scottsbluff, Nebraska, licensed in Missouri (109503) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1487773669
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEITH ANTHONY BONACQUISTICredential: MD
Location Address4021 AVENUE BScottsbluff, NE 69361-4602
Mailing Address1612 Cadence LoopCantonment, FL 32533-4737 · (314) 210-5085
Phone(308) 630-1885
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 15, 20264 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1487773669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in MO · 109503✔ Licensed in NE · CP1177✔ Licensed in AL · 52438✔ Licensed in IL · 036127592✔ Licensed in ND · 24263
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4021 AVENUE B, Scottsbluff, NE 69361
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Secondary Practice Location 1

Location 12055 E South Blvd Ste 908Montgomery, AL 36116-2007 · Phone (334) 747-2273

Other Identifiers 1

Medicaid208534602MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Keith Anthony Bonacquisti 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 ID1153339825
PECOS Enrollment IDI20250109003542, I20251205004024, I20260430002586
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services89 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
81 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
40 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Morrill County Community Hospital

Critical Access Hospitals · Bridgeport, NE
OwnershipGovernment - Local
CMS Certification Number281318
Location1313 S StreetBridgeport, NE 69336 · Morrill County
Emergency services

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69361 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.2
Promoting Interoperability100
Improvement Activities40
Cost64.44

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers46 claims46 services$31.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers18 claims18 services$73.93 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers18 claims54 services$28.67 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers33 claims197 services$12.04 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers37 claims37 services$43.94 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers29 claims29 services$13.99 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 20

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

RICHARD J SIMMONS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1400
KELLY JO COON M.D.
Hospitalist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-2920
MEGAN COLLINS DO
Student in an Organized Health Care Education/Training Program
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 635-3711
DR. CRAIG DOUGLAS NOE PHARM. D.
Pharmacist (Pharmacotherapy)
4021 AVENUE B, INPATIENT PHARMACY
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1262
KRISTEN NELSON
Speech-Language Pathologist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1355
NEBRASKA EM-I MEDICAL SERVICES PC
Emergency Medicine
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (469) 401-2386
MR. RANDALL WILBERT REZNOR R.PH.
Pharmacist
4021 AVENUE B, REGIONAL WEST MEDICAL CENTER
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1262
AMBER ROSE MCLAUGHLIN DPT
Physical Therapist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1355

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 Keith Bonacquisti's NPI number?

The NPI number for Keith Bonacquisti is 1487773669. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Keith Bonacquisti located?

Keith Bonacquisti practices at 4021 Avenue B, Scottsbluff, NE 69361. The listed phone number is (308) 630-1885.

What is Keith Bonacquisti's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Keith Bonacquisti enrolled in Medicare?

Yes. Keith Bonacquisti 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 Keith Bonacquisti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Keith Bonacquisti 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 Keith Bonacquisti affiliated with any hospitals?

According to CMS data, Keith Bonacquisti is affiliated with Regional West Medical Center, Morrill County Community Hospital and Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for Keith Bonacquisti was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.