Active NPI 1396058608 Individual Practitioner Male Practitioner

Jack E Bonham , PA

Physician Assistant • Beech Grove, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jack Bonham, PA is a certified Physician Assistant practicing in Beech Grove, IN. With approximately 16 years of clinical experience since completing medical education in 2010, Jack Bonham delivers high-quality medical care to the local community at 1600 ALBANY ST.

Jack Bonham is affiliated with Recover Together Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include testing for presence of drug, read by direct observation, office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling;, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Albany St

Beech Grove, IN 461071541

Telephone 3178023151

Fax 3178700499

Associated Practice Facility / Clinic

🏢 Franciscan St. Francis Health Facility NPI 1205931706

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Beech Grove, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.5 yrs vs City Avg

City Avg: 9.5 Yrs

State Avg: 9.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Beech Grove, IN (2429 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

13.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonham (16 Years) 16 Yrs

Beech Grove Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80305 Testing for presence of drug, read by direct observation	56	16	$12.60	$12.35
G2088 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)	54	14	$39.72	$35.20
99213 Established patient office or other outpatient visit, typically 15 minutes	33	14	$83.82	$71.49
G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	30	15	$391.60	$338.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	32	12	$336.48	$269.33
99284 Emergency department visit with moderate level of medical decision making	12	12	$813.00	$97.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	22	22	$1198.00	$143.64
99284 Emergency department visit with moderate level of medical decision making	11	11	$810.27	$99.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	12	12	$1198.00	$146.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	22	22	$1198.00	$141.01
99283 Emergency department visit with low level of medical decision making	19	19	$449.00	$53.04
99284 Emergency department visit with moderate level of medical decision making	15	15	$798.00	$96.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	53	53	$1198.00	$139.09
99284 Emergency department visit with moderate level of medical decision making	48	48	$798.00	$94.48
99283 Emergency department visit with low level of medical decision making	44	44	$449.00	$49.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	57	57	$1198.00	$139.09
99284 Emergency department visit with moderate level of medical decision making	55	54	$798.00	$94.42
99283 Emergency department visit with low level of medical decision making	52	52	$449.00	$49.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	115	107	$390.52	$50.07
99284 Emergency department visit with moderate level of medical decision making	74	74	$706.49	$92.79
99285 Emergency department visit for life threatening or functioning severity	59	58	$1026.92	$140.02
99282 Emergency department visit with straightforward medical decision making	20	19	$248.90	$33.50

Medical Specialties & State Licenses

CMS Verified: 2021-06-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10001193A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

905 W Keegans Way, Greensburg, IN 472403403

Phone: 8006838313

Secondary Practice Locations

1500 N Ritter Ave Ste 500

Indianapolis, IN 462193027

Phone: 3173555457

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Ronda Brinley , MD

Anesthesiology

NPI 1013108216

Doctor of Medicine (M.D.)

Dr. John Hale , MD

Anesthesiology

NPI 1023099363

Doctor of Medicine (M.D.)

Dr. David Dunn , DO

Anesthesiology

NPI 1023335015

Doctor of Osteopathic Medicine (D.O.)

Dr. Barton Brown , MD

Emergency Medicine

NPI 1033319629

Doctor of Medicine (M.D.)

Timothy Johnson , PA

Physician Assistant

NPI 1033425145

Physician Assistant

Dr. Mark Reiger , MD

Emergency Medicine

NPI 1043220163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2019

Physician Assistant (License #10001193A in IN)

✅

NPI Profile Active July 16, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2010

Registered at 1600 ALBANY ST, BEECH GROVE, IN 461071541 (Tel: 3178023151)

📍

Updated Business Mailing Address July 16, 2010

Registered at PO BOX 7112, DPT 31, INDIANAPOLIS, IN 462077112 (Tel: 3178023151)

👤

Provider Name / Credentials Updated July 16, 2010

Recorded as JACK BONHAM, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2010

Physician Assistant (License #10001193 in IN)

🟢

Initial NPI Registration & Enumeration July 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396058608

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 16, 2010

Last Update: June 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7112, Dpt 31

Indianapolis, IN 462077112

Phone: 3178023151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.