Doctor profile · Federal record
Dr. Jack Bonham, PA
Physician Assistant · Beech Grove, IN
- NPI 1396058608
- Accepts Medicare
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1600 Albany St
Beech Grove, IN 461071541
(317) 802-3151
fax (317) 870-0499 - Additional location
-
1500 N Ritter Ave Ste 500
Indianapolis, IN 462193027
(317) 355-5457 - Mailing address
-
Po Box 7112, DPT 31
Indianapolis, IN 462077112
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- June 25, 2021
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Indiana #10001193A
- Medicaid
- IN #300016938
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396058608. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
44
Distinct HCPCS
2
Medicare allowed
$9,792
| HCPCS | Description | Services | Patients | Avg 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 | $269 | |
99284 |
Emergency department visit with moderate level of medical decision making | 12 | 12 | $98 |
In context: peer comparison
Among 1 peers in Beech Grove Physician Assistant, average services per provider: 22. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$238
Transactions
9
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 9 | $237.63 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
321
Patients
72
Total drug cost
$21,609
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) | Brand | 268 | 54 | $13,880 |
| Naloxone Hcl | Generic | 33 | 18 | $2,246 |
| Zubsolv (Buprenorphine Hcl/Naloxone Hcl) | Brand | 20 | 0 | $5,484 |
Frequently asked questions
What is Dr. Jack Bonham's medical specialty?
Dr. Jack Bonham practices Physician Assistant in Beech Grove, IN.
Where does Dr. Jack Bonham practice?
Dr. Jack Bonham practices at 1600 Albany St, Beech Grove, IN 461071541. Office phone: 3178023151.
What is Dr. Jack Bonham's NPI?
Dr. Jack Bonham's National Provider Identifier (NPI) is 1396058608, issued by NPPES.
Does Dr. Jack Bonham accept Medicare assignment?
Yes. Dr. Jack Bonham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Bonham commonly perform?
Top Medicare-reported procedures in 2023: 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 (HCPCS G2087); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.