DR. RAFAEL ANDRES BONILLA VASQUEZ M.D.
NPI 1871975896
Surgery in Lebanon, MO

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
120 HOSPITAL DR STE 200, LEBANON, MO 65536(417) 533-6780 Get Directions Write a Review

NPPES record last updated: June 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rafael Andres Bonilla Vasquez M.d. NPPES

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

DR. RAFAEL ANDRES BONILLA VASQUEZ M.D. (NPI 1871975896) is an individual surgery provider in Lebanon, Missouri, licensed in Missouri (2019046474) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1871975896
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAFAEL ANDRES BONILLA VASQUEZCredential: M.D.
Location Address120 HOSPITAL DR STE 200Lebanon, MO 65536-9227
Mailing Address120 Hospital Dr Ste 200Lebanon, MO 65536-9227 · (417) 533-6780
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 25, 2015
Last NPPES UpdateJune 28, 2020
NPPES CertifiedJune 28, 2020
NPI 1871975896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · 2019046474
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10053644 (TX)
120 HOSPITAL DR STE 200, Lebanon, MO 65536

Accepted 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. Rafael Andres Bonilla Vasquez M.d. 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 ID143511634
PECOS Enrollment IDI20200625000355
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 9

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, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services41 patients
New patient office or other outpatient visit, 45-59 minutes 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.
44 services44 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
26 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
25 services25 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services22 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65536 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
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 2

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

Surgery
120 HOSPITAL DR STE 200
LEBANON, MO 65536
Surgery
120 HOSPITAL DR STE 200
LEBANON, MO 65536

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 Rafael Bonilla Vasquez's NPI number?

The NPI number for Rafael Bonilla Vasquez is 1871975896. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Rafael Bonilla Vasquez located?

Rafael Bonilla Vasquez practices at 120 Hospital Dr Ste 200, Lebanon, MO 65536. The listed phone number is (417) 533-6780.

What is Rafael Bonilla Vasquez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rafael Bonilla Vasquez enrolled in Medicare?

Yes. Rafael Bonilla Vasquez 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 Rafael Bonilla Vasquez accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica, Octave and UnitedHealthcare list Rafael Bonilla Vasquez 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 Rafael Bonilla Vasquez affiliated with any hospitals?

According to CMS data, Rafael Bonilla Vasquez is affiliated with Mercy Hospital Lebanon and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Rafael Bonilla Vasquez was last updated on June 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.