Individual provider Active NPI

Jason Matthew Loden, DO

  • Surgery Physician
  • Houston, MO
National Provider Identifier
1710327879
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2018007730 Issued in MO
Practice address
1333 S Sam Houston Blvd Ste C
Houston, MO 65483-2046
Phone
(417) 967-1252
Fax
(417) 967-0417
NPI assigned
Jul 3, 2013
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 2018007730 MO Primary

Addresses

Primary practice location

1333 S Sam Houston Blvd Ste C
Houston, MO 65483-2046

Mailing address

1333 S Sam Houston Blvd Ste C
Houston, MO 65483-2046
Phone (417) 967-1252

Other identifiers 2

IdentifierTypeStateIssuer
200054452MedicaidMO
152250019OtherMOMEDICARE PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180709003412 MO Practitioner - General Surgery 3779858162 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

3250 Gordonville Rd
Suite 384
Cape Girardeau, MO 63703-5095
Phone (573) 331-5522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.08 of 100Reported as group
Quality
59.97
Improvement activities
40
Cost
76.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Current Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Texas County Memorial Hospital CurrentSince Feb 26, 2025 Accepting new patients
Texas County Memorial Hospital CurrentSince Jun 25, 2018 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Surgery CurrentSince Sep 1, 2022 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Texas County Memorial Hospital Surgery CurrentSince Jun 25, 2018 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Ferguson Medical Group Rural Health Center Inc. Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Texas County Memorial Hospital Past Accepting new patients

Locations

500 Main St
Cabool, MO 65689
Phone (417) 962-3015

3250 Gordonville Rd
Ste 384
Cape Girardeau, MO 63703
Phone (573) 331-5522

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

60 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-3074

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1333 S Sam Houston Blvd
Ste C
Houston, MO 65483
Phone (417) 967-1252

1422 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

212 Hospital Ln
Ste 103
Perryville, MO 63775
Phone (573) 768-3393

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

Interoperability endpoints

  • Direct secure messaging: jloden102074@surescripts.sfmc.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1710327879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S SAM HOUSTON BLVD STE C",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-1252",
            "fax_number": "417-967-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S SAM HOUSTON BLVD STE C",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-1252",
            "fax_number": "417-967-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODEN",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2018007730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200054452",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "152250019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.