Active NPI
Jason Theodore Koreckij, M.D.
- Orthopaedic Surgery of the Spine Physician
- Columbia, MO
National Provider Identifier
1992739312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 2009007659
- Practice address
- 1 S Keene St
Columbia, MO 65201-7199 - Phone
- (573) 443-2402
- Fax
- (573) 443-0574
- NPI assigned
- Jul 10, 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 | 2009007659 | MO | Primary |
Addresses
Primary practice location
1 S Keene St
Columbia, MO 65201-7199
Mailing address
1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104180020 | Other | MO | PTAN |
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
- University of Missouri, Kansas City, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402
Hospital & facility affiliations
- Boone Hospital Center
- Bothwell Regional Health Center
- Lake Regional Health System
- Macon County Samaritan Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.1 of 100
- Promoting interoperability
- 86
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 225 |
| Laminectomy or laminotomy (partial removal of spine bones) | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009007659 | MO | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients | |
| Columbia Orthopaedic Group, LLP | Current | Accepting new patients |
Locations
1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Columbia, MO
- NPI 1851392542
-
- Durable Medical Equipment & Medical Supplies
- Osage Beach, MO
- NPI 1942986484
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Hospital
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- Rural Acute Care Hospital
- Osage Beach, MO
- NPI 1386619450
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1992739312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S KEENE ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017199",
"telephone_number": "573-443-2402",
"fax_number": "573-443-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S KEENE ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017199",
"telephone_number": "573-443-2402",
"fax_number": "573-443-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORECKIJ",
"first_name": "JASON",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MO",
"license": "2009007659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "104180020",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.