Active NPI
Jeffrey Brian McIntosh, MD
- Orthopaedic Surgery Physician
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0432910
- Practice address
- 4801 College Blvd
Leawood, KS 66211-1628 - Phone
- (913) 491-3999
- Fax
- (913) 754-9309
- NPI assigned
- Mar 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0432910 | KS | Primary |
Addresses
Primary practice location
4801 College Blvd
Leawood, KS 66211-1628
Mailing address
4801 College Blvd
Leawood, KS 66211-1628
Phone (913) 491-3999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10825575 | Other | KS | CAQH |
| 204610307 | Medicaid | MO | |
| 200543480A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Johns Hopkins University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1104 W Main St
Benton, IL 62812-1565
Phone (618) 439-3399
326 E Main St
West Frankfort, IL 62896-2402
Phone (618) 937-6200
4113 S Water Tower PL
Mount Vernon, IL 62864-6293
Phone (618) 244-9038
Hospital & facility affiliations
- Mederi Caretenders
- Deaconess Illinois Crossroads
- SSM Health St Mary's Hospital -Centralia
- Fairfield Memorial Hospital 1
- Heartland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.4 of 100
- Quality
- 61.42
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 63.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 19 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0432910 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Clinic, Inc | Past | Accepting new patients |
Locations
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
209 Crossroads Pl
Ste 150
Mount Vernon, IL 62864
Phone (618) 244-6222
4113 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 241-9071
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Interoperability endpoints
- jbmcinto@yourcarecommunity.org
- jmcintosh420128@direct.deaconess.com
- jeffery.mcintosh.1@27782.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
dba Deaconess Illinois Clinic
- Family Medicine Physician
- Mount Vernon, IL
- NPI 1245956523
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mederi Caretenders
- Home Health Agency
- Mount Vernon, IL
- NPI 1437138070
-
dba Crossroads Community Hospital
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
dba SSM Health St. Mary's Hospital - Centralia
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1790754075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111628",
"telephone_number": "913-491-3999",
"fax_number": "913-754-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111628",
"telephone_number": "913-491-3999",
"fax_number": "913-754-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "JEFFREY",
"middle_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "0432910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10825575",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204610307",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200543480A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.