Active NPI
Jonathan Brent Hancock, D.O.
- Orthopaedic Surgery Physician
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A-1965-16
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27221822 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 12 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A-1965-16 | NM | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Co Memorial Hospital | Current | Accepting new patients | |
| Orthopedic Associates PA | Orthopaedic Surgery | Current | Accepting new patients |
| Madison Co Memorial Hospital | Current | Accepting new patients | |
| Madison Co Memorial Hospital | Current | Accepting new patients | |
| Orthopedic Associates PA | Orthopaedic Surgery | Current | 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.
-
- Orthopaedic Surgery Physician
- Farmington, NM
- NPI 1750356820
-
dba Madison Memorial Rexburg Medical Clinic
- Family Medicine Physician
- Rexburg, ID
- NPI 1134592017
-
- Foot & Ankle Surgery Podiatrist
- Farmington, NM
- NPI 1265238513
Orthopaedic Surgery
-
dba Madison Memorial Outpatient Services
- Physiological Laboratory
- Rexburg, ID
- NPI 1316460264
-
dba Rigby Medical Center
- Family Medicine Physician
- Rigby, ID
- NPI 1356026280
-
dba Madison Memorial Orthopedics
- Orthopaedic Surgery Physician
- Rexburg, ID
- NPI 1730602756
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seasons Medical By Madison Memorial
- Obstetrics & Gynecology Physician
- Rexburg, ID
- NPI 1073154266
Hospital
-
- General Acute Care Hospital
- Rexburg, ID
- NPI 1992747570
-
dba Rexburg Home Health and Hospice
- Home Health Agency
- Rexburg, ID
- NPI 1710033832
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.