Kent A Bogner, DO
Individual provider Active NPI Family Medicine Physician · Belton, MO
NPI 1295720340 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1295720340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO 103426 (MO)
- Practice address
- 17067 S Outer Rd
Suite 100
Belton, MO 64012-2165 - Phone
- (816) 331-4000
- Fax
- (816) 331-3626
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Belton Family Practice Clinic LLC
Practice addresses (Care Compare)
17067 S Outer Rd
Suite 100
Belton, MO 64012-2100
Phone (816) 331-4000
17067 S US Hwy 71
Suite 100
Belton, MO 64012-2100
Phone (816) 331-7744
Hospital & facility affiliations
- Residential Home Health of Kansas
- Belton Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.13 of 100
- Quality
- 93.44
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050509000969 | MO | Practitioner - Family Practice | 5799725743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 103426 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belton Family Practice Clinic LLC | Family Medicine | Current |
Accepting new patients |
| Raymore Medical Group LLC | Family Medicine | Past | Accepting new patients |
Locations
17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000
17067 S US Highway 71
Ste 100
Belton, MO 64012
Phone (816) 331-4000
Interoperability endpoints
- kent.bogner@hca2.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO 103426 | MO | Yes |
Addresses
Primary practice location
17067 S Outer Rd
Suite 100
Belton, MO 64012-2165
Mailing address
17067 S Outer Rd
Suite 100
Belton, MO 64012-2165
Phone (816) 331-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248241317 | Medicaid | MO | |
| 100453640A | Medicaid | KS | |
| 100453640B | Medicaid | KS | |
| 248241325 | Medicaid | MO | |
| 1295720340 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KENT.BOGNER@hca2.eclinicaldirectplus.com |
Other providers in Belton, MO
- Shannon Berry
- Timothy L Blackburn
- Frank B Blacknall
- Bleauridge Nursing and Rehab LLC
- Bleauridge Nursing and Rehab LLC
- Lori Bohnenstiehl
- William Xander Bolden
- Bone & Joint Specialists Physician Group, LLC
- Bone&Joint Specialist P.C.
- Erica Renee Bourbon
All providers in Belton, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.