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DR. CLARK ANDREW BONHAM MD
NPI 1528083284
Transplant Surgery in Kansas City, MO

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 701-5200(816) 302-9939 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Apr 27, 2024 (2 updates tracked since 2024).

About Dr. Clark Andrew Bonham Md NPPES

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

DR. CLARK ANDREW BONHAM MD (NPI 1528083284) is an individual transplant surgery provider in Kansas City, Missouri, licensed in Missouri (2025013416) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The Children's Mercy Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1989).

NPPES Registry Identity

NPI1528083284
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. CLARK ANDREW BONHAMCredential: MD
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd, Provider Enrollment DeptKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Phone(816) 701-5200
Fax(816) 302-9939
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1989
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1528083284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses✔ Licensed in MO · 2025013416✔ Licensed in KS · 04-51288
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
2401 GILLHAM RD, Kansas City, MO 64108
Open in Google Maps ↗

Other Identifiers 1

Medicaid00C507500CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..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. Clark Andrew Bonham 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 ID5890796999
PECOS Enrollment IDI20250508002825, I20250715000214
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

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

The Children's Mercy Hospital

Childrens · Kansas City, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number263302
Location2401 Gillham RoadKansas City, MO 64108 · Jackson County
Emergency services

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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims6,870 services$0.34 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier19 claims4,560 services$0.21 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier22 claims22 services$19.02 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier19 claims22 services$12.69 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.

RYAN A ROMANS MD
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
JENNIFER BITNER MSN, APRN, FNP-C
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (913) 234-3000
SAMIRA NAIME M.D.
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MICHELLE RENEE MIDDLETON AU.D.
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Jackson County (816) 960-4009
MADALYN NICOLE SINGLETON DO
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
EMMA LYNNE WORLEY CAA
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
DR. FAYTH WALBRIDGE PHD
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (308) 655-0842
JAMES W. LOWE DDS
Dentist (Pediatric Dentistry)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000

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 Clark Bonham's NPI number?

The NPI number for Clark Bonham is 1528083284. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Clark Bonham located?

Clark Bonham practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 701-5200.

What is Clark Bonham's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Clark Bonham enrolled in Medicare?

Yes. Clark Bonham 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 Clark Bonham accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Clark Bonham 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 Clark Bonham affiliated with any hospitals?

According to CMS data, Clark Bonham is affiliated with The Children's Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Clark Bonham was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.