GREGORY THOMAS BONGERS (MD) – Family Medicine Physician, NPI 1629033519

GREGORY THOMAS BONGERS (MD) is a healthcare provider. based in Derby, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-26353 (KS). The NPI Number for GREGORY THOMAS BONGERS (MD) is 1629033519

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY THOMAS BONGERS (MD)
NPI
1629033519
Phone
(316) 788-6963
Address
1101 N ROCK RD
Enumeration Date
20 April 2006
Last Update Date
14 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
31678869631150
Graduation Year
1995 (31 years ago)
PAC ID
4183631260
Group Practice PAC ID
4688568751
Professional Enrollment ID
I20060314000767
Address ID
KS670373705DE1101XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for GREGORY THOMAS BONGERS (MD)

  • 1101, North Rock Road, Derby, Sedgwick County, Kansas, 67037, United States

    DERBY, KS 670373705

    Phone: (316) 788-6963

    Fax: (316) 788-5373

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-14

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
I20060314000767IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,98020$0
36415Insertion of needle into vein for collection of blood sample566326$0
99213Established patient office or other outpatient visit, 20-29 minutes412259$0
99214Established patient office or other outpatient visit, 30-39 minutes404249$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count397307$0
View full utilization report →

Insurance plans in this area (ZIP 67037)

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Provider's Procedures

GREGORY THOMAS BONGERS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKS78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2323
FAMILY MEDICINEKS85610Blood test, clotting time9312
FAMILY MEDICINEKS90670Pneumococcal vaccine for injection into muscle2525

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: 4688568751View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm GREGORY THOMAS BONGERS (MD)'s NPI?
Yes. GREGORY THOMAS BONGERS (MD) is listed with NPI 1629033519 in the public NPI dataset.
Can I rely on GREGORY THOMAS BONGERS (MD) being an active provider?
As of the registry snapshot, GREGORY THOMAS BONGERS (MD) is marked active.
What is GREGORY THOMAS BONGERS (MD)'s specialty?
The listing groups GREGORY THOMAS BONGERS (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect GREGORY THOMAS BONGERS (MD) on a map?
Expect Derby, Kansas as a primary anchor for GREGORY THOMAS BONGERS (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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Family Medicine Physician
1101, North Rock Road, Derby, Sedgwick County, Kansas, 67037, United States
NPI: 1306855069