Active NPI
Jacob Maciej Buchowski, MD
- Orthopaedic Surgery of the Spine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 2004036178
- Practice address
- 4921 Parkview PL
Dept Orthopaedic Surgery, Ste 6a/6B/12a
Saint Louis, MO 63110-1032 - Phone
- (314) 514-3500
- Fax
- (314) 878-7678
- NPI assigned
- Jul 14, 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 of the Spine Physician | 207XS0117X | 2004036178 | MO | Primary |
Addresses
Primary practice location
4921 Parkview PL
Dept Orthopaedic Surgery, Ste 6a/6B/12a
Saint Louis, MO 63110-1032
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 514-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200695104 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Johns Hopkins University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 514-3500
1044 N Mason Rd
Suite 110/210
Saint Louis, MO 63141-6310
Phone (314) 514-3500
12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone (314) 996-8080
4921 Parkview PL
Saint Louis, MO 63110-1032
Phone (314) 514-3500
Hospital & facility affiliations
- Barnes-Jewish West County Hospital
- Barnes Jewish Hospital
- Missouri Baptist Medical Center
- Alton Memorial Hospital
- Memorial Hospital
- SSM Health Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 112 |
| Laminectomy or laminotomy (partial removal of spine bones) | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Washington University | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
14532 South Outer 40 Rd
Ste 200
Chesterfield, MO 63017
4240 Duncan Ave
Ste 301
Saint Louis, MO 63110
4921 Parkview Pl
Ste 6A6B
Saint Louis, MO 63110
Phone (314) 747-2551
4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551
1 Barnes Hospital Plz
Ste 11300
Saint Louis, MO 63110
12634 Olive Blvd
Saint Louis, MO 63141
Phone (314) 434-0600
660 S Euclid Ave
Saint Louis, MO 63110
660 S Euclid Ave
#8233
Saint Louis, MO 63110
Phone (314) 747-2555
660 S Euclid Ave
#C
Saint Louis, MO 63110
4921 Parkview Pl
Ste A
Saint Louis, MO 63110
Phone (314) 362-7145
Interoperability endpoints
- jbuchowski154237@direct.carenet.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679516033
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1831107895
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1831115146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-514-3500",
"fax_number": "314-878-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 PARKVIEW PL",
"address_2": "DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101032",
"telephone_number": "314-514-3500",
"fax_number": "314-878-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHOWSKI",
"first_name": "JACOB",
"middle_name": "MACIEJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MO",
"license": "2004036178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200695104",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4921 Parkview Pl",
"address_2": "Dept Orthopaedic Surgery, Ste 6A/6B/12A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.