DR. CLARK ANDREW BONHAM (MD) – Surgery Physician, NPI 1528083284
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,384 PEDIATRIC MEDICINE in CA
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Provider Addresses for DR. CLARK ANDREW BONHAM (MD)
Stanford Hospital, 300, Pasteur Drive, Palo Alto, Santa Clara County, California, 94305, United States
STANFORD, CA 943052200
Phone:
Type: Mailing
2401 GILLHAM RD
PROVIDER ENROLLMENT DEPT
KANSAS CITY, MO 641084619
Phone: (816) 701-5200
Fax: (816) 302-9939
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2023-04-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($171).
Total Amount
$171
General + Research + Ownership
Payments
2
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $171 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250508002825 | I | Pediatric Medicine | MO | TBD |
| I20250715000214 | I | Pediatric Medicine | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99234 | Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes | 82 | 21 | $0 |
Insurance plans in this area (ZIP 94305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Radiation Oncology | MO | |
| Pediatric Medicine | TX | |
| Anesthesiology, Cardiovascular Disease (Cardiology) | KS | |
| - | MO | |
| Diagnostic Radiology | MO | |
| Urology, Pediatric Medicine | MO | |
| Diagnostic Radiology | MO | |
| Pediatric Medicine, Emergency Medicine | MO | |
| - | MO | |
| - | IA |
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