DR. BONNIE R SMITH (M.D.) – Diagnostic Radiology Physician, NPI 1073554267

Diagnostic Radiology Physician

DR. BONNIE R SMITH (M.D.) is a healthcare provider. based in Jefferson city, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 2005020853 (MO). The NPI Number for DR. BONNIE R SMITH (M.D.) is 1073554267

Main info

Female

25 Years Of Experience

Accepts Medicare Assignment

Name

DR. BONNIE R SMITH (M.D.)

NPI

1073554267

Phone

(573) 556-7755

Address

PO BOX 104240

Enumeration Date

9 June 2006

Last Update Date

12 February 2010

Doctor Profile

Medical School Name

UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE

Secondary Phone

5735565771

Graduation Year

2001 (25 years ago)

PAC ID

4284643958

Group Practice PAC ID

1850371089

Professional Enrollment ID

I20060410000125

Address ID

MO651096023JE1241XBLVD400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

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Provider Addresses for DR. BONNIE R SMITH (M.D.)

PO BOX 104240
JEFFERSON CITY, MO 651104240
Phone: (573) 556-7755
Fax: (576) 761-3599
Type: Mailing
1241, West Stadium Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
JEFFERSON CITY, MO 651096023
Phone: (573) 556-7755
Fax: (573) 761-3599
Type: Location

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: 2006-04-10

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

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
I20060410000125	I	Diagnostic Radiology	MO	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
77063	Screening 3d breast mammography	682	682	$0
77067	Screening mammography	681	681	$0
71046	X-ray of chest, 2 views	236	212	$0
73630	X-ray of foot, minimum of 3 views	186	140	$0
74177	Ct scan of abdomen and pelvis with contrast	113	105	$0

View full utilization report →

Insurance plans in this area (ZIP 65110)

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Provider's Procedures

DR. BONNIE R SMITH (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	MO	71010	X-ray of chest, 1 view, front	837	563
DIAGNOSTIC RADIOLOGY	MO	71250	CT scan chest	64	62
DIAGNOSTIC RADIOLOGY	MO	73110	X-ray of wrist, minimum of 3 views	21	20
DIAGNOSTIC RADIOLOGY	MO	73140	X-ray of fingers, minimum of 2 views	13	12
DIAGNOSTIC RADIOLOGY	MO	73630	X-ray of foot, minimum of 3 views	51	47
DIAGNOSTIC RADIOLOGY	MO	74177	CT scan of abdomen and pelvis with contrast	121	115
DIAGNOSTIC RADIOLOGY	MO	76830	Ultrasound pelvis through vagina	15	15
DIAGNOSTIC RADIOLOGY	MO	93971	Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	38	37

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: 1850371089View full group profile

Name	Specialty	State
MYLES BRANDON GOBLE (MD)	Neuropsychiatry, Neurology	MO
MRS. MEGAN ELAINE HILDERBRAND (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
DR. E. DWAIN ROBERTS (M.D.)	Diagnostic Radiology	MO
INDUMATHI BASKAR (M.D.)	Internal Medicine	MO
DR. PHILIP L RUMBAOA (MD)	Family Practice	MO
DR. JAMES MARKUS KOCH (M.D.)	Neuropsychiatry, Neurology	MO
DR. NINA MILLER KIEKHAEFER (M.D.)	-	MO
DR. MARK LA SHELL (M.D.)	A L L E R G Y/ I M M U N O L O G Y	WA
CORTNY OSIE-ANN VANDERGRIFT	Nurse Practitioner	MO
JOHN WILLIAM JR. MIDDLETON (C.R.N.A.)	-	MO

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Frequently asked questions

How is DR. BONNIE R SMITH (M.D.) identified in CMS data?

CMS-hosted NPPES data lists DR. BONNIE R SMITH (M.D.) with NPI 1073554267.

Can I rely on DR. BONNIE R SMITH (M.D.) being an active provider?

As of the registry snapshot, DR. BONNIE R SMITH (M.D.) is marked active.

What healthcare role does DR. BONNIE R SMITH (M.D.) hold?

Scheduling teams often label DR. BONNIE R SMITH (M.D.) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.

Where should I expect DR. BONNIE R SMITH (M.D.) on a map?

Expect Jefferson City, Missouri as a primary anchor for DR. BONNIE R SMITH (M.D.) 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.