Individual provider Active NPI

Jace W. Hyder, M.D.

  • Surgery Physician
  • Andover, KS
National Provider Identifier
1336172907
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-22203 Issued in KS
Practice address
2237 Keystone Cir Ste C
Andover, KS 67002-8742
Phone
(316) 687-1090
Fax
(316) 687-2234
NPI assigned
Jul 8, 2006
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-22203 KS Primary
Colon & Rectal Surgery Physician 208C00000X 04-22203 KS

Addresses

Primary practice location

2237 Keystone Cir Ste C
Andover, KS 67002-8742

Mailing address

2237 Keystone Cir Ste C
Andover, KS 67002-8742
Phone (316) 687-1090

Other practice location 1

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-7400

Other practice location 2

1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2251

Other practice location 3

1431 Bluffview St Ste 210
Wichita, KS 67218-3039
Phone (316) 687-1090

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pcc-direct@mcpmedsurg.hin.us
Direct Messaging Address scc-direct@mcpmedsurg.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NV, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041112000392 KS Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5799749560 Reassigns benefits to 2 organizations
I20250228003122 NV Practitioner - General Surgery 5799749560 Reassigns benefits to 1 organization
I20251104004460 NM Practitioner - General Surgery 5799749560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miners' Colfax Medical CenterGroup PAC ID 5294647400, 22 clinicians

Practice addresses (Care Compare)

203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-7720

2237 Keystone Cir
Suite C
Andover, KS 67002-8742
Phone (316) 687-1090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.52 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux71
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22203KSMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince Feb 21, 2025 Accepting new patients
Miners Colfax Medical Center Current Accepting new patients
Endoscopic Services, P.a. CurrentSince Jan 1, 1994 Accepting new patients
CTH Physicians Clinic Current Accepting new patients
Miners Colfax Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Midwest Surgical, P.a. Surgery CurrentSince Jan 1, 1998 Accepting new patients
Restore Medical Group Midwest LLC CurrentSince Dec 27, 2023 Accepting new patients
Premonition Health LLC PastSince May 1, 2024 Accepting new patients
Kansas Medical Center LLC Past Accepting new patients
Miners Colfax Medical Center Past Accepting new patients

Locations

2237 Keystone Cir
#C
Andover, KS 67002
Phone (316) 201-6983

12021 E 13th St N
Ste 119
Wichita, KS 67206
Phone (316) 330-5353

1431 S Bluffview Dr
Ste 210
Wichita, KS 67218
Phone (316) 687-1090

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

704 W Nye Ln
Ste 102
Carson City, NV 89703
Phone (775) 687-8570

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.891
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/
  • Direct secure messaging: jace.hyder@midwestsurgical.gwaydirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Medical CenterAndover, KS, CCN 170197 Hospital Limited Partnership Interest (0.44%) Aug 14, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 4

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1336172907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 KEYSTONE CIR STE C",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028742",
            "telephone_number": "316-687-1090",
            "fax_number": "316-687-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 KEYSTONE CIR STE C",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028742",
            "telephone_number": "316-687-1090",
            "fax_number": "316-687-2234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-7400",
            "fax_number": "620-798-2613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-2251",
            "fax_number": "620-279-2630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 Bluffview St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183039",
            "country_code": "US",
            "telephone_number": "316-687-1090",
            "fax_number": "316-687-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDER",
        "first_name": "JACE",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-22203",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KS",
            "license": "04-22203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.