NPIMap

Individual provider Active NPI

Jason D. Bowersock, MD

  • Surgery Physician
  • Lima, OH
National Provider Identifier
1396961983
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35089145 Issued in OH
Practice address
830 W High St
Suite 360
Lima, OH 45801
Phone
(419) 227-7117
Fax
(419) 227-2848
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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 35089145 OH Primary

Addresses

Primary practice location

830 W High St
Suite 360
Lima, OH 45801

Mailing address

830 W High St Ste 360
Lima, OH 45801-3985
Phone (419) 227-7117

Other identifiers 1

IdentifierTypeStateIssuer
2737417MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070507000496 OH Practitioner - General Surgery 3971609082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wright State University Boonshoft School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima Specialty Care LLC 254 clinicians

Practice addresses (Care Compare)

830 W High St
Suite 360
Lima, OH 45801-3985
Phone (419) 227-7117

Hospital & facility affiliations

  • Mercy Health-Home Health, Lima Home health agency, Lima, OH, CCN 367417
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as individual
Quality
81.35
Promoting interoperability
100
Improvement activities
40
Cost
78.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)31
Upper gastrointestinal (GI) endoscopy for acid reflux15
Removal of tissue22
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35089145OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC Surgery CurrentSince Sep 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients

Locations

830 W High St
Ste 207
Lima, OH 45801
Phone (419) 226-9182

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

830 W High St
Ste 150B
Lima, OH 45801
Phone (419) 227-7117

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Lima, OH 45801
Phone (419) 226-9694

770 W High St
Lima, OH 45801
Phone (419) 996-5240

830 W High St
Ste 360
Lima, OH 45801
Phone (419) 227-7117

Interoperability endpoints

  • Direct secure messaging: jbowersock39487@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1396961983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST STE 360",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013985",
            "telephone_number": "419-227-7117",
            "fax_number": "419-227-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST",
            "address_2": "SUITE 360",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45801",
            "telephone_number": "419-227-7117",
            "fax_number": "419-227-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOCK",
        "first_name": "JASON",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35089145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.