MICHAEL BENJAMIN BOHNERT (MD) – Dermatology Physician, NPI 1053990804

MICHAEL BENJAMIN BOHNERT (MD) is a healthcare provider. based in Columbia, Missouri. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036.175801 (IL). The NPI Number for MICHAEL BENJAMIN BOHNERT (MD) is 1053990804

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BENJAMIN BOHNERT (MD)
NPI
1053990804
Phone
Not provided
Address
1020 HITT ST
Enumeration Date
7 April 2021
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
2172246423
Graduation Year
2021 (5 years ago)
PAC ID
2264833722
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20251106000789
Address ID
IL623055875QU4800XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

535 DERMATOLOGY in NC

Provider Addresses for MICHAEL BENJAMIN BOHNERT (MD)

  • 1020 HITT ST

    COLUMBIA, MO 652121002

    Phone:

    Type: Mailing

  • 123 HENDERSONVILLE RD

    ASHEVILLE, NC 288032868

    Phone: (828) 771-3545

    Fax: (828) 232-2942

    Type: Location

  • 4800 MAINE ST STE 48-200

    QUINCY, IL 623055875

    Phone: (217) 214-6250

    Fax: (217) 366-1767

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,108.

Total Amount is formed as General ($1,108) + Research ($0) + Ownership ($0) = $1,108.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($458).

Total Amount

$1,108

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-11-06

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
I20251106000789IDermatologyILTBD

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 65212)

Loading plans...

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: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for MICHAEL BENJAMIN BOHNERT (MD)?
MICHAEL BENJAMIN BOHNERT (MD) — NPI 1053990804 — is the standard way to identify this listing.
Does CMS list MICHAEL BENJAMIN BOHNERT (MD) as active?
Yes — MICHAEL BENJAMIN BOHNERT (MD) is active in the NPI listing used on this page.
What is MICHAEL BENJAMIN BOHNERT (MD)'s specialty?
The listing groups MICHAEL BENJAMIN BOHNERT (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does MICHAEL BENJAMIN BOHNERT (MD) list a practice location?
Patients near Columbia, Missouri may find MICHAEL BENJAMIN BOHNERT (MD) in results; validate coverage separately.
Why does MICHAEL BENJAMIN BOHNERT (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

SUSAN MARIE ZUROWSKI (M.D.)

Dermatology Physician
1000 W NIFONG BLDG 2 STE 150
NPI: 1407852502

JOHN D DESPAIN (M.D.)

Dermatology Physician
2011, Corona Road, The Village of Cherry Hill, Columbia, Boone County, Missouri, 65203, United States
NPI: 1932196433

JAMES A ROLLER (M.D.)

Dermatology Physician
Hitt Street, Columbia, Boone County, Missouri, 65201, United States
NPI: 1740267830

HELEN FILO TERGIN (MD)

Dermatology Physician
Boone Clinic, 401, North Keene Street, Columbia, Boone County, Missouri, 65201, United States
NPI: 1578540571

KAREN E EDISON (MD)

Dermatology Physician
Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
NPI: 1639127483

JONATHAN A DYER (M.D.)

Dermatology Physician
Columbia Post Office, 6801, Oak Hall Lane, Howard County, Maryland, 21045, United States
NPI: 1376591073

DANA S WARD (MD)

Dermatology Physician
Columbia Post Office, 6801, Oak Hall Lane, Howard County, Maryland, 21045, United States
NPI: 1396793683

LINDALL A PERRY (M.D.)

MOHS-Micrographic Surgery Physician
Keene Street, Edgewood, Columbia County, Georgia, 30907, United States
NPI: 1720036072

JENNIFER ANN SWEARINGEN (MD)

Dermatology Physician
44000, West 12 Mile Road, Novi, Oakland County, Michigan, 48377, United States
NPI: 1043320187