Jonathan Taylor Hagen, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

17021 Issued in NV

Practice address

212 Elks Point Rd Ste 200
Zephyr Cove, NV 89448-8001

Phone

(775) 589-8950

Fax

(775) 588-1299

NPI assigned

May 30, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 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 2

Specialty

Orthopedic Surgery

Education

Texas a & M University System, HSC, College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
• Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300
• Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301
• Plumas District Hospital Hospital, Quincy, CA, CCN 051326

Merit-based Incentive Payment System (MIPS)

Final score

75.06 of 100Reported as group

Quality

83.97

Promoting interoperability

88

Improvement activities

40

Cost

42.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhagen995233@directa.mercy.net

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.

• Tahoe Forest Hospital District

  dba Tahoe Forest MultiSpecialty Clinics

  • Multi-Specialty Clinic/Center
  • Truckee, CA
  • NPI 1750412300
  Medicare reassignment Care Compare group NPD
• Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp

  dba Tahoe Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Zephyr Cove, NV
  • NPI 1609937911
  Medicare reassignment NPD
• Tahoe Forest Hospital District

  dba Incline Village Community Hospital

  • Critical Access Hospital
  • Incline Village, NV
  • NPI 1801957667
  Medicare reassignment NPD
• Tahoe Orthopedics & Sports Medicine, Inc.

  • Orthopaedic Surgery Physician
  • South Lake Tahoe, CA
  • NPI 1902131287
  Medicare reassignment NPD
• Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp

  • Durable Medical Equipment & Medical Supplies
  • Carson City, NV
  • NPI 1619126240
  NPD
• Tahoe Forest Hospital District

  • Orthopaedic Surgery Physician
  • Truckee, CA
  • NPI 1194188854
  NPD
• Tahoe Forest Hospital District

  • Rural Health Clinic/Center
  • Truckee, CA
  • NPI 1760038772
  NPD
• Tahoe Forest Hospital District

  dba Tahoe Forest Hospital

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780
  NPD (past)

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

• Tahoe Forest Hospital District

  dba Incline Village Community Hospital

  • Critical Access Hospital
  • Incline Village, NV
  • NPI 1801957667
  Care Compare affiliation
• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1326044140
  Care Compare affiliation
• Eastern Plumas Health Care District

  dba Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
  • NPI 1982600920
  Care Compare affiliation
• Plumas District Hospital

  • Critical Access Hospital
  • Quincy, CA
  • NPI 1326094269
  Care Compare affiliation
• Tahoe Forest Hospital District

  dba Tahoe Forest Hospital

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780
  Care Compare affiliation

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487915153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ELKS POINT RD STE 200",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894488001",
            "telephone_number": "775-589-8950",
            "fax_number": "775-588-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Mica Dr Ste 13",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897057181",
            "country_code": "US",
            "telephone_number": "775-783-3065",
            "fax_number": "775-267-1829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1139 3rd St",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961503465",
            "country_code": "US",
            "telephone_number": "530-543-5554",
            "fax_number": "530-541-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "JONATHAN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A148997",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "17021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Brockman, PH.D.
• Diana L. Brown, MA MFT
• Robert Francis Desipio Jr., D.M.D
• Elizabeth Erin Eisenlohr, LMFT
• Christina Chandra Frohlich, D.P.T.
• Allison Beth Herman, MD
• Innovative Dental Solutions, LLC (Zephr Cove Dental Center)
• Nicholas Kallas, DMD
• Lake Tahoe Orthopaedic Institute
• Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp (Tahoe Orthopedics and Sports Medicine)

• Orthopaedic Surgery Physician in Zephyr Cove, NV
• Providers in Zephyr Cove, NV by specialty
• Orthopaedic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.