DUSTIN LEE BONZO (MD) – Family Medicine Physician, NPI 1154884799

DUSTIN LEE BONZO (MD) is a healthcare provider. based in Salina, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-44000 (KS). The NPI Number for DUSTIN LEE BONZO (MD) is 1154884799

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN LEE BONZO (MD)
NPI
1154884799
Phone
(785) 825-7251
Address
651 E PRESCOTT RD
Enumeration Date
10 April 2019
Last Update Date
29 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6202351377
Graduation Year
2019 (7 years ago)
PAC ID
0345574489
Group Practice PAC ID
3476464538
Professional Enrollment ID
I20210901003193
Address ID
KS667638100FR1011XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for DUSTIN LEE BONZO (MD)

  • 651, East Prescott Road, Salina, Saline County, Kansas, 67401, United States

    SALINA, KS 674017408

    Phone: (785) 825-7251

    Type: Location

  • 302 N HOSPITAL DR

    GIRARD, KS 667432000

    Phone: (620) 724-8291

    Type: Mailing

  • 1011 N HIGHWAY 69

    FRONTENAC, KS 667638100

    Phone: (620) 235-1377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($311).

Total Amount

$601

General + Research + Ownership

Payments

29

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210901003193IFamily PracticeKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476464538View full group profile
NameSpecialtyState
Family PracticeKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerMO
Family PracticeKS
Otolaryngology, Maxillofacial Surgery, Plastic And Reconstructive Surgery, Surgical OncologyMO
R H E U M A T O L O G YKS
Nurse PractitionerKS
Nurse PractitionerKS
General SurgeryKS

Reviews

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Frequently asked questions

What number should I use to identify DUSTIN LEE BONZO (MD) for billing?
Administrative and clinical systems typically use NPI 1154884799 for DUSTIN LEE BONZO (MD).
Does the public listing show DUSTIN LEE BONZO (MD) as active?
DUSTIN LEE BONZO (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DUSTIN LEE BONZO (MD) does?
Insurance directories may phrase it differently, but here DUSTIN LEE BONZO (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DUSTIN LEE BONZO (MD)?
DUSTIN LEE BONZO (MD) is associated with Salina, Kansas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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