Individual provider Active NPI

Jerry D Young, D.O.

  • Surgery Physician
  • Bay City, TX
National Provider Identifier
1154408235
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J4630 Issued in TX
Practice address
600 Hospital Cir
Suite 201
Bay City, TX 77414-4771
Phone
(979) 241-6100
Fax
(979) 241-6105
NPI assigned
Nov 1, 2006
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J4630 TX Primary

Addresses

Primary practice location

600 Hospital Cir
Suite 201
Bay City, TX 77414-4771

Mailing address

600 Hospital Cir Ste 200
Bay City, TX 77414-4772
Phone (979) 241-6100

Other identifiers 2

IdentifierTypeStateIssuer
122021206MedicaidTX
8F7562OtherTXMEDICARE ID - TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051007000512 TX Practitioner - General Surgery 5294750386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Hospital Cir
Bay City, TX 77414-4771
Phone (979) 241-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.44 of 100Reported as group
Quality
81.38
Promoting interoperability
100
Improvement activities
40
Cost
33.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Medical Network Matagorda LLC CurrentSince Jul 20, 2014 Accepting new patients
Discovery Medical Network Matagorda, LLC CurrentSince Jul 20, 2014 Accepting new patients
South Texas Spinal Clinic, P.a. Past Accepting new patients

Locations

1413 Avenue G
Bay City, TX 77414
Phone (979) 244-1374

600 Hospital Cir
Bay City, TX 77414
Phone (979) 241-6100

600 Hospital Cir
Ste 200
Bay City, TX 77414
Phone (979) 244-1374

600 Hospital Cir
Ste 201
Bay City, TX 77414
Phone (979) 241-6100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5673/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/935/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jerry.young.1@5673.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1154408235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR STE 200",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144772",
            "telephone_number": "979-241-6100",
            "fax_number": "979-244-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR",
            "address_2": "SUITE 201",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144771",
            "telephone_number": "979-241-6100",
            "fax_number": "979-241-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JERRY",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J4630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122021206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "8F7562",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.