Jacqueline Margaret Youtsos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0438483 Issued in KS

Practice address

2425 Bradshaw Way
Pittsburg, KS 66762-6600

Phone

(620) 308-6123

Fax

(620) 308-6264

NPI assigned

Mar 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM, KS, MO3 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 3

Specialty

Dermatology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renu Medical and Spa LLCGroup PAC ID 9739481573, 5 clinicians

Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nevada Regional Medical Center Hospital, Nevada, MO, CCN 260061

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

78.89 of 100Reported as group

Quality

50.25

Promoting interoperability

90

Improvement activities

40

Cost

81.17

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Renu Medical & Spa, LLC

  • Family Medicine Physician
  • Pittsburg, KS
  • NPI 1881050995

  Dermatology, NM

  Medicare reassignment Care Compare group NPD Authorized official
• Nevada City Hospital

  • Rural Acute Care Hospital
  • Nevada, MO
  • NPI 1942283866
  Medicare reassignment Care Compare group NPD
• Nevada City Hospital

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1730805136
  NPD
• Nevada City Hospital

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1427385517
  NPD (past)

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

• Nevada City Hospital

  • Surgery Physician
  • Nevada, MO
  • NPI 1164754859

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  • Surgery Physician
  • Nevada, MO
  • NPI 1205164753

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  • General Practice Physician
  • Nevada, MO
  • NPI 1689904336

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  • Rural Acute Care Hospital
  • Nevada, MO
  • NPI 1942283866
  Care Compare affiliation

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1780950352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BRADSHAW WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626600",
            "telephone_number": "620-308-6123",
            "fax_number": "620-308-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BRADSHAW WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626600",
            "telephone_number": "620-308-6123",
            "fax_number": "620-308-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUTSOS",
        "first_name": "JACQUELINE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0438483",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "0438483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201124850A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tresa Jane Woods, LMSW
• Todd Arthur Wullschleger, M.D.
• Chang Qing Xun, M.D.
• You Matter Med LLC
• Your Home Town Medical Equipment Inc
• Eric Youvan, D.D.S.
• Marie G Youvan, RDH
• Karlie Zafuta, FNP
• Michael P Zafuta, MD

• Family Medicine Physician in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.