Individual provider Active NPI

Jason C. Reutter, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hickory, NC
National Provider Identifier
1154316545
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
200200788 Issued in NC
Practice address
1899 Tate Blvd SE Ste 1105
Hickory, NC 28602-4200
Phone
(828) 322-3821
Fax
(828) 322-6697
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200200788 NC
Dermatopathology (Pathology) Physician 207ZD0900X 200200788 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 200200788 NC Primary

Addresses

Primary practice location

1899 Tate Blvd SE Ste 1105
Hickory, NC 28602-4200

Mailing address

4619 Kenny Rd
Columbus, OH 43220-2779
Phone (800) 554-2695

Other practice location 1

315 19th St SE
Hickory, NC 28602-4230
Phone (828) 325-9849

Other identifiers 1

IdentifierTypeStateIssuer
P00254161OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000606 NC Practitioner - Pathology 5294780706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Pathology Associates IncGroup PAC ID 8224000906, 9 clinicians
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians

Practice addresses (Care Compare)

1899 Tate Blvd SE
Suite 1105
Hickory, NC 28602-4200
Phone (828) 322-3821

315 19TH St SE
Hickory, NC 28602-4230
Phone (828) 325-9849

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
91.92
Promoting interoperability
94
Improvement activities
40
Cost
78.58

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group
Quality
50
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200788NCMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Pathology Associates Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2011 Accepting new patients
Piedmont Pathology Associates Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2011 Accepting new patients
Piedmont Plastic Surgery & Dermatology PA Dermatology CurrentSince Feb 1, 2024 Accepting new patients
Piedmont Plastic Surgery and Dermatology Dermatology PastSince Feb 1, 2024 Accepting new patients

Locations

1072 X Ray Dr
Gastonia, NC 28054
Phone (704) 671-1094

959 Cox Rd
Gastonia, NC 28054
Phone (704) 866-0106

1899 Tate Blvd SE
Ste 1105
Hickory, NC 28602
Phone (828) 322-3821

1927 3rd Avenue Ln SE
Hickory, NC 28602
Phone (828) 328-3500

315 19th St SE
Hickory, NC 28602
Phone (828) 325-9849

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1154316545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202779",
            "telephone_number": "800-554-2695",
            "fax_number": "614-442-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE STE 1105",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-322-3821",
            "fax_number": "828-322-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 19th St SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024230",
            "country_code": "US",
            "telephone_number": "828-325-9849",
            "fax_number": "828-325-9879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REUTTER",
        "first_name": "JASON",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200200788",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "200200788",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "200200788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00254161",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.