Individual provider Active NPI

Jon Christopher Banwart, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bentonville, AR
National Provider Identifier
1760410542
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
E-19533 Issued in AR
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204725600MedicaidMO
100332710DMedicaidKS
OKA105515OtherOKNOVITAS
10033710VMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OK, AR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060213000209 MO Practitioner - Orthopedic Surgery 4183639156 Reassigns benefits to 1 organization
I20090415000107 KS Practitioner - Orthopedic Surgery 4183639156 Reassigns benefits to 1 organization
I20120925000087 OK Practitioner - Orthopedic Surgery 4183639156 Reassigns benefits to 1 organization
I20250905002500 AR Practitioner - Orthopedic Surgery 4183639156 Reassigns benefits to 1 organization

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 LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians
Northwest Benton County Physician Services LLCGroup PAC ID 3577503689, 36 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement48
Knee replacement75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-26856KSMDOrthopaedic Surgery Physician
107602MOMDOrthopaedic Surgery Physician
29046OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC Current Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jan 25, 2020 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jan 25, 2020 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Oct 1, 2025 Accepting new patients
Orthopaedic Specialists of the Four States LLC PastSince Jul 24, 2022 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

  • Direct secure messaging: jbanwart@o4s.mdlogic.direct-ci.com
  • Direct secure messaging: jbanwart200395@directc.mercy.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.