Individual provider Active NPI

Jason Donald Easterday, MD

  • Urology Physician
  • Cookeville, TN
National Provider Identifier
1831689546
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
68024 Issued in TN
Practice address
320 N Oak Ave
Cookeville, TN 38501-2440
Phone
(931) 781-4103
Fax
(931) 526-6760
NPI assigned
May 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 68024 TN Primary

Addresses

Primary practice location

320 N Oak Ave
Cookeville, TN 38501-2440

Mailing address

320 N Oak Ave
Cookeville, TN 38501-2440
Phone (931) 781-4103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230519002705 TN Practitioner - Urology 2466703293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
East Tennessee State University Quillen College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cookeville Regional Medical Group IncGroup PAC ID 8325092638, 54 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-5857

100 W 4TH St
Suite 350
Cookeville, TN 38501-4225
Phone (931) 783-2753

320 N Oak Ave
Cookeville, TN 38501-2440
Phone (931) 783-4103

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Merit-based Incentive Payment System (MIPS)

Final score
40.99 of 100Reported as group
Quality
58.34
Promoting interoperability
0
Improvement activities
0
Cost
78.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection35
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc CurrentSince May 4, 2023 Accepting new patients

Locations

320 N Oak Ave
Cookeville, TN 38501
Phone (931) 528-5547

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

Interoperability endpoints

  • Direct secure messaging: jason.easterday.1@10383.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1831689546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012440",
            "telephone_number": "931-781-4103",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012440",
            "telephone_number": "931-781-4103",
            "fax_number": "931-526-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERDAY",
        "first_name": "JASON",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "68024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.