Active NPI
Jon Christopher Banwart, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- E-19533
- Practice address
- 2900 Medical Center Pkwy Ste 310
Bentonville, AR 72712-3214 - Phone
- (479) 553-3360
- Fax
- (479) 553-1911
- NPI assigned
- Jun 29, 2006
- Last updated
- Sep 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 107602 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | 04-26856 | KS | |
| Orthopaedic Surgery Physician | 207X00000X | 29046 | OK | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | E-19533 | AR | Primary |
Addresses
Primary practice location
2900 Medical Center Pkwy Ste 310
Bentonville, AR 72712-3214
Mailing address
2900 Medical Center Pkwy Ste 310
Bentonville, AR 72712-3214
Phone (479) 553-3360
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204725600 | Medicaid | MO | |
| 100332710D | Medicaid | KS | |
| OKA105515 | Other | OK | NOVITAS |
| 10033710V | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS, OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Joplin LLC
Practice addresses (Care Compare)
100 Mercy Way
430 Mercy Clinic Joplin Orthopedics
Joplin, MO 64804-4524
Phone (417) 556-2278
1121 Neo Loop
Mercy Clinic Orthopedics Grove
Grove, OK 74344-6046
Phone (877) 783-4441
2900 Medical Ctr Pkwy
Suite 310
Bentonville, AR 72712-3214
Phone (479) 553-2250
444 Four States Dr
Suite 1
Galena, KS 66739-4325
Phone (877) 783-4441
Hospital & facility affiliations
- Northwest Medical Center-Springdale
- Mercy Specialty Hospital Southeast Kansas
- Mercy Hospital Carthage
- Freeman Health System - Freeman West
- Mercy Hospital Joplin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 48 |
| Knee replacement | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-26856 | KS | MD | Orthopaedic Surgery Physician |
| 107602 | MO | MD | Orthopaedic Surgery Physician |
| 29046 | OK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Orthopaedic Specialists of the Four States LLC | Past | Accepting new patients |
Locations
2900 Medical Center Pkwy
Ste 310
Bentonville, AR 72712
Phone (479) 553-3310
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545
403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762
444 Four States Dr
Ste 1
Galena, KS 66739
Phone (877) 783-4441
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
100 Mercy Way
#430
Joplin, MO 64804
Phone (417) 556-2278
2817 Saint Johns Blvd
Joplin, MO 64804
Phone (417) 625-2300
1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441
10 S Treaty Rd
Miami, OK 74354
Phone (918) 238-2410
Interoperability endpoints
- jbanwart@o4s.mdlogic.direct-ci.com
- jbanwart200395@directc.mercy.net
- jon.banwart.1@2229.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
dba Mercy Clinic Columbus-Family Medicine
- Rural Health Clinic/Center
- Columbus, KS
- NPI 1750618351
-
dba Ortho4States DME
- Durable Medical Equipment & Medical Supplies
- Pittsburg, KS
- NPI 1467799106
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
dba Freeman Health System
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
dba Freeman Health System
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
dba Mercy McCune-Brooks Hospital
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- Special Hospital
- Galena, KS
- NPI 1992341473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1760410542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 310",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123214",
"telephone_number": "479-553-3360",
"fax_number": "479-553-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 310",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123214",
"telephone_number": "479-553-3360",
"fax_number": "479-553-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANWART",
"first_name": "JON",
"middle_name": "CHRISTOPHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "107602",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "04-26856",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "29046",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "AR",
"license": "E-19533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204725600",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100332710D",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVITAS",
"identifier": "OKA105515",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10033710V",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.