Active NPI 1366407975 Individual Practitioner Male Practitioner

Dr. Brian K. Bonham , MD

Pediatrics • Smithsburg, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Bonham, MD is a certified Pediatrics practicing in Smithsburg, MD. With approximately 31 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 1995, Dr. Bonham delivers high-quality medical care to the local community at 22911 JEFFERSON BLVD.

Dr. Bonham maintains professional affiliations with Meritus Medical Center Inc, Medical Practices Of Antietam, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

22911 Jefferson Blvd

Smithsburg, MD 217831617

Telephone 3018243343

Fax 3018246323

Associated Practice Facility / Clinic

🏢 Medical Practices Of Antietam Llc Facility NPI 1508664145

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Smithsburg, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -5.5 yrs vs City Avg

City Avg: 36.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Smithsburg, MD (1907 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonham (31 Years) 31 Yrs

Smithsburg Specialty Average (36.5 Years) 36.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	743	355	$370.00	$102.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	642	328	$45.00	$16.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	256	93	$205.00	$77.20
99213 Established patient office or other outpatient visit, typically 15 minutes	252	182	$261.00	$71.71
G0008 Administration of influenza virus vaccine	195	187	$37.00	$32.30
90662 Influenza vaccine split virus, preservative free	159	159	$179.00	$81.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	150	$332.00	$128.65
91320 Sarscv2 vac 30mcg trs-suc im	124	117	$360.53	$144.30
90480 Admn sarscov2 vacc 1 dose	124	117	$110.00	$42.72
99239 Hospital discharge day management, more than 30 minutes	79	71	$306.00	$108.77
93000 Routine ekg using at least 12 leads including interpretation and report	33	30	$60.00	$14.22
99495 Transitional care management services for problem of at least moderate complexity	28	25	$590.00	$206.05
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$728.00	$290.38
G0009 Administration of pneumococcal vaccine	25	25	$37.00	$32.30
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$489.00	$163.78
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	21	19	$202.10	$61.54
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$56.00	$21.90
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$66.00	$20.68
81003 Automated urinalysis test	16	13	$8.00	$2.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$389.00	$128.07
90471 Administration of 1 vaccine	11	11	$35.00	$18.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	655	341	$370.00	$113.67
99213 Established patient office or other outpatient visit, typically 15 minutes	286	206	$261.00	$77.63
G0008 Administration of influenza virus vaccine	164	163	$36.89	$31.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	68	$205.00	$78.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$332.00	$129.93
90662 Influenza vaccine split virus, preservative free	91	91	$179.00	$71.93
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	79	78	$56.00	$21.79
99239 Hospital discharge day management, more than 30 minutes	76	72	$306.00	$112.45
90480 Admn sarscov2 vacc 1 dose	66	66	$110.00	$41.46
91320 Sarscv2 vac 30mcg trs-suc im	66	66	$360.53	$128.48
0134A Fee covid-19 vac 14 res	49	49	$110.00	$41.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$489.00	$166.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$389.00	$130.51
G0009 Administration of pneumococcal vaccine	19	19	$35.42	$31.10
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$728.00	$282.08
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$60.00	$14.67
99496 Transitional care management services for problem of high complexity	17	17	$455.00	$279.09
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	13	12	$202.10	$52.77
81003 Automated urinalysis test	13	13	$8.00	$2.20
90471 Administration of 1 vaccine	12	12	$35.00	$20.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	695	347	$370.00	$124.88
99213 Established patient office or other outpatient visit, typically 15 minutes	294	209	$261.00	$88.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	273	113	$205.00	$71.68
G0008 Administration of influenza virus vaccine	150	146	$35.00	$30.40
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	123	120	$54.75	$20.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	123	36	$112.00	$38.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$332.00	$131.72
99239 Hospital discharge day management, more than 30 minutes	81	77	$306.00	$106.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	74	74	$489.00	$166.43
90662 Influenza vaccine split virus, preservative free	31	31	$177.45	$68.54
99225 Subsequent observation care, typically 25 minutes per day	24	16	$207.00	$71.66
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$60.00	$14.80
G0009 Administration of pneumococcal vaccine	22	22	$35.00	$30.58
99496 Transitional care management services for problem of high complexity	22	22	$455.00	$273.26
99217 Hospital observation care on day of discharge	21	20	$207.00	$72.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$389.00	$137.24
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$728.00	$258.25
81003 Automated urinalysis test	11	11	$8.00	$2.21
99238 Hospital discharge day management, 30 minutes or less	11	11	$206.00	$72.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	726	364	$365.06	$134.24
99213 Established patient office or other outpatient visit, typically 15 minutes	227	165	$258.25	$94.47
G0008 Administration of influenza virus vaccine	183	181	$35.00	$17.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	174	80	$205.00	$73.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	145	66	$112.00	$39.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	141	139	$32.74	$20.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$332.00	$137.49
0011A Adm sarscov2 100mcg/0.5ml1st	48	48	$110.00	$41.27
99239 Hospital discharge day management, more than 30 minutes	47	45	$306.00	$110.07
0012A Adm sarscov2 100mcg/0.5ml2nd	42	42	$110.00	$41.27
90662 Influenza vaccine split virus, preservative free	40	40	$75.00	$65.26
99238 Hospital discharge day management, 30 minutes or less	34	34	$206.00	$74.70
G0009 Administration of pneumococcal vaccine	24	24	$35.00	$17.57
99496 Transitional care management services for problem of high complexity	21	21	$455.00	$292.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$168.63	$122.17
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$60.00	$15.60
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$489.00	$175.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	674	358	$306.00	$113.29
99213 Established patient office or other outpatient visit, typically 15 minutes	270	189	$208.00	$77.06
G0008 Administration of influenza virus vaccine	138	132	$35.00	$17.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	63	$205.00	$75.49
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	122	117	$27.00	$18.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	107	49	$112.00	$41.21
99238 Hospital discharge day management, 30 minutes or less	33	32	$206.00	$76.68
G0009 Administration of pneumococcal vaccine	32	32	$35.00	$17.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$489.00	$178.54
99239 Hospital discharge day management, more than 30 minutes	21	19	$306.00	$111.83
90670 Pneumococcal vaccine for injection into muscle	17	17	$259.00	$227.81
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$60.00	$17.94
90662 Influenza vaccine split virus, preservative free	17	17	$61.00	$60.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$120.00	$118.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	774	396	$306.00	$111.52
99213 Established patient office or other outpatient visit, typically 15 minutes	444	276	$208.00	$76.07
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	239	234	$27.00	$18.57
G0008 Administration of influenza virus vaccine	239	234	$35.00	$17.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	57	$205.00	$73.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	79	79	$489.00	$177.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	34	$112.00	$40.11
99239 Hospital discharge day management, more than 30 minutes	45	40	$306.00	$108.57
93000 Routine ekg using at least 12 leads including interpretation and report	37	36	$54.65	$17.71
G0009 Administration of pneumococcal vaccine	32	32	$35.00	$17.02
81003 Automated urinalysis test	31	27	$8.00	$2.44
90670 Pneumococcal vaccine for injection into muscle	18	18	$259.00	$211.02
99238 Hospital discharge day management, 30 minutes or less	17	16	$206.00	$75.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$116.57	$110.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	772	374	$306.00	$109.82
99213 Established patient office or other outpatient visit, typically 15 minutes	437	274	$208.00	$74.47
G0008 Administration of influenza virus vaccine	200	191	$31.48	$21.01
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	198	189	$32.68	$18.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	153	52	$205.00	$74.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	25	$112.00	$40.13
99239 Hospital discharge day management, more than 30 minutes	36	31	$306.00	$110.25
G0009 Administration of pneumococcal vaccine	34	34	$45.38	$21.01
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$49.00	$17.24
90670 Pneumococcal vaccine for injection into muscle	20	20	$259.00	$196.73
81003 Automated urinalysis test	19	17	$8.00	$2.59
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$114.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	712	346	$295.65	$108.85
99213 Established patient office or other outpatient visit, typically 15 minutes	411	248	$201.58	$74.40
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	216	214	$51.38	$18.39
G0008 Administration of influenza virus vaccine	212	210	$27.00	$26.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	53	$184.54	$73.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	42	$98.00	$39.96
99239 Hospital discharge day management, more than 30 minutes	44	31	$266.73	$109.55
99496 Transitional care management services for problem of high complexity	42	31	$404.62	$235.95
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$67.53	$16.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	20	$437.68	$206.38
99238 Hospital discharge day management, 30 minutes or less	22	20	$195.36	$73.89
G0009 Administration of pneumococcal vaccine	21	21	$50.00	$26.07
81003 Automated urinalysis test	16	15	$13.00	$3.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$114.00	$95.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	12	12	$14.00	$1.80
90670 Pneumococcal vaccine for injection into muscle	11	11	$259.00	$183.63

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD D0054451

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License ME D0054451

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

507200000 (MD)

Hospital & Practice Group Affiliations

Meritus Medical Center Inc

11110 Medical Campus Rd, Hagerstown, MD 217426700

Medical Practices Of Antietam, Llc

22911 Jefferson Blvd, Smithsburg, MD 217831617

Phone: 3018243343

Practice Associates & Co-Workers

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

11 Associated Practitioners

Bradley Ingram , PA-C

Physician Assistant - Medical

NPI 1144290321

Physician Assistant (Certified)

Taylor James

Physician Assistant

NPI 1316508773

Dr. William Kerns , MD

Pediatrics

NPI 1326003666

Doctor of Medicine (M.D.)

Jennifer Nunnelee , PA

Physician Assistant

NPI 1376524447

Physician Assistant

Dr. Dipti Mistry , MD

Internal Medicine

NPI 1407173610

Doctor of Medicine (M.D.)

Dr. Susanna Goheen , MD

Internal Medicine

NPI 1548295587

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2013

Registered at 22911 JEFFERSON BLVD, SMITHSBURG, MD 217831617 (Tel: 3018243343)

📍

Updated Business Mailing Address October 17, 2013

Registered at 22911 JEFFERSON BLVD, SMITHSBURG, MD 217831617 (Tel: 3018243343)

👤

Provider Name / Credentials Updated October 17, 2013

Recorded as BRIAN BONHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2013

Internal Medicine (License #D0054451 in ME)

🟢

Initial NPI Registration & Enumeration April 18, 2006

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: 1366407975

Entity Type:

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

Enumeration Date: April 18, 2006

Last Update: October 17, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

22911 Jefferson Blvd

Smithsburg, MD 217831617

Phone: 3018243343

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.