BONNER GENERAL ORTHOPEDICS
NPI 1982060984
Orthopaedic Surgery - Sports Medicine in Sandpoint, ID

Active since January 06, 2016
606 N 3RD AVE STE 201, SANDPOINT, ID 83864(208) 263-8597(208) 265-0667 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Jul 13, 2023 (2 updates tracked since 2023).

About Bonner General Orthopedics NPPES

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

BONNER GENERAL ORTHOPEDICS (NPI 1982060984) is a healthcare organization registered as a sports medicine in Sandpoint, Idaho and active in the NPI registry since January 2016. The organization lists John Hennessy, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1982060984
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameBONNER GENERAL HOSPITAL, INC
Location Address606 N 3RD AVE STE 201Sandpoint, ID 83864-1689
Mailing AddressPo Box 1343Sandpoint, ID 83864-0863 · (208) 265-1158 · Fax (208) 265-1278
Fax(208) 265-0667
Organization SubpartNo
Authorized OfficialJohn HennessyChief Executive Officer · (208) 265-1100
Enumeration DateJanuary 6, 2016
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1982060984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
606 N 3RD AVE STE 201, Sandpoint, ID 83864

Other Names 1

Doing Business AsBonner General Orthopedics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonner General Orthopedics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20040626000014Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Bonner General Orthopedics, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Diagnostic Radiology29
Nurse Practitioner14
Emergency Medicine11
Internal Medicine4
Orthopedic Surgery4
Family Practice3
Clinical Psychologist2
Clinical Social Worker1
6 other specialties6

Nearest to this location (20)

See all 74
Nurse Practitioner
NPI 1104425149
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1046
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1811776859
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1528248333
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1982076204
606 N 3RD AVE
Sandpoint, ID 83864
(208) 265-1046
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1164597431
606 N. 3RD AVENUE SUITE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1306830922
606 N 3RD AVE STE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104191089
606 N 3RD AVE STE 203
Sandpoint, ID 83864
(304) 276-9937
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760827372
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700669165
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1881566602
520 N 3RD AVE
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1598720989
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1487944336
520 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1467936039
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1255399457
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-1011
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1285605097
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-3342
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1194762732
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 263-6876
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1023276896
423 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1942944566
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.7 mi
Interventional Cardiology
NPI 1992751648
606 N 3RD AVE SUITE 203
Sandpoint, ID 83864
(208) 263-2505
✔ PECOS✔ Accepts Medicare0.8 mi
Orthopedic Surgery
NPI 1891056826
606 N THIRD AVE STE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.8 mi
See all 74 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bonner General Hospital, Inc's NPI number?

The NPI number for Bonner General Hospital, Inc is 1982060984. It was assigned to this organization in the NPPES registry on January 6, 2016. The provider is doing business as Bonner General Orthopedics.

Where is Bonner General Hospital, Inc located?

Bonner General Hospital, Inc is located at 606 N 3rd Ave Ste 201, Sandpoint, ID 83864. The listed phone number is (208) 263-8597.

What is Bonner General Hospital, Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Bonner General Hospital, Inc enrolled in Medicare?

Yes. Bonner General Hospital, Inc is registered in the Medicare PECOS enrollment system.

When is Bonner General Hospital, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bonner General Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 14 Medicare specialties reassign their Medicare billing to Bonner General Hospital, Inc. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (29), Nurse Practitioner (14) and Emergency Medicine (11). Of these, 7 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bonner General Hospital, Inc accept?

Health plans from Ambetter Health and Molina Healthcare list Bonner General Hospital, Inc 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.

When was this NPI record last updated?

The NPPES record for Bonner General Hospital, Inc was last updated on August 8, 2024. 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.