Individual provider Active NPI

Jonathan Brent Hancock, D.O.

  • Orthopaedic Surgery Physician
  • Farmington, NM
National Provider Identifier
1497048011
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A-1965-16 Issued in NM
Practice address
2300 E 30TH St Ste 101
Farmington, NM 87401-8990
Phone
(505) 327-1400
Fax
(505) 564-3202
NPI assigned
May 17, 2011
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A-1965-16 NM Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A-1965-16 NM
Orthopaedic Trauma Physician 207XX0801X A-1965-16 NM

Addresses

Primary practice location

2300 E 30TH St Ste 101
Farmington, NM 87401-8990

Mailing address

2300 E 30TH St Ste 101
Farmington, NM 87401-8990
Phone (505) 327-1400

Other identifiers 1

IdentifierTypeStateIssuer
27221822MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, ID2 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

Enrollment IDStateProvider typePAC IDDetails
I20160613000143 NM Practitioner - Orthopedic Surgery 2365680527 Reassigns benefits to 1 organization
I20250703004149 ID Practitioner - Orthopedic Surgery 2365680527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates PAGroup PAC ID 1355254244, 19 clinicians
Madison Co Memorial HospitalGroup PAC ID 8123016367, 34 clinicians

Practice addresses (Care Compare)

2300 E 30TH St
BLDG D Suite 101
Farmington, NM 87401-8990
Phone 50532714002528

393 E 2ND
Rexburg, ID 83440-1605
Phone (208) 359-6498

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
64
Promoting interoperability
100
Improvement activities
40
Cost
82.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-1965-16NMMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Co Memorial Hospital Current Accepting new patients
Orthopedic Associates PA Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Madison Co Memorial Hospital CurrentSince Apr 27, 2025 Accepting new patients
Madison Co Memorial Hospital CurrentSince Apr 27, 2025 Accepting new patients
Orthopedic Associates PA Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
Madison Co Memorial Hospital Orthopaedic Surgery Past Accepting new patients

Locations

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

2300 E 30th St
Bldg D-101
Farmington, NM 87401
Phone (505) 327-1400

2300 E 30th St
Ste 101
Farmington, NM 87401
Phone (505) 208-6280

Organizations & group practices 6

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 3

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1497048011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-564-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-564-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "JONATHAN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "A-1965-16",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NM",
            "license": "A-1965-16",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NM",
            "license": "A-1965-16",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27221822",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.