Jesse Voth-Gaeddert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TL.0008290 Issued in CO

Practice address

201 Kendall Dr
Lamar, CO 81052-3939

Phone

(719) 336-0261

NPI assigned

Apr 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Plains Community Health Center IncorporatedGroup PAC ID 8527031533, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Haxtun Hospital District Hospital, Haxtun, CO, CCN 061304
• Prowers Medical Center Hospital, Lamar, CO, CCN 061323

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jesse.voth-gaeddert.1@14566.direct.athenahealth.com

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.

• Yuma District Hospital

  • Critical Access Hospital Clinic/Center
  • Yuma, CO
  • NPI 1841343407

  CO

  Medicare reassignment
• High Plains Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lamar, CO
  • NPI 1609240894
  Care Compare group
• High Plains Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Holly, CO
  • NPI 1932596350
  Care Compare group
• High Plains Community Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lamar, CO
  • NPI 1700889151
  Care Compare group

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

• Haxtun Hospital District

  • Critical Access Hospital
  • Haxtun, CO
  • NPI 1336103811

  Hospital

  Care Compare affiliation
• Prowers County Hospital District

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1285254342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W FRONTIER LN",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617216",
            "telephone_number": "877-397-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523939",
            "telephone_number": "719-336-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTH-GAEDDERT",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-19",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL.0008290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley-Wide Health Systems, Inc.
• Valley-Wide Health Systems, Inc.
• Valley-Wide Health Systems, Inc.
• Veyna Chiropractic & Wellness, LLC
• Cynthia Rose Vigil, M.S.W.
• Camlinh Ngoc Vu
• Caroline Wagner
• Kari Sue Wagner, M.A.
• Landi Gayle Wagner, BS
• Walmart Inc.

• All providers in Lamar, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.

Verify at the official NPI Registry.