JCMG PAIN MANAGEMENT
NPI 1164830337
Anesthesiology - Pain Medicine in Jefferson City, MO

Active since July 31, 2014CLIA 26D2118598 · Certificate of Compliance
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 635-5264 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jcmg Pain Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JCMG PAIN MANAGEMENT (NPI 1164830337) is a healthcare organization registered as a pain medicine in Jefferson City, Missouri and active in the NPI registry since July 2014. The organization holds a CLIA Certificate of Compliance certificate valid through April 5, 2027 and lists Jeffrery Lee Patrick, President, as its authorized official.

NPPES Registry Identity

NPI1164830337
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameJEFFERSON CITY MEDICAL GROUP, PC
Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 635-5264
Organization SubpartNo
Authorized OfficialJeffrery Lee PatrickPresident · (573) 635-5264
Enumeration DateJuly 31, 2014
Last NPPES UpdateDecember 26, 2018
✔ NPI 1164830337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in MO · 2002003282
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1241 W STADIUM BLVD, Jefferson City, MO 65109

Other Names 1

Doing Business AsJcmg Pain Management

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jcmg Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Jcmg Pain Management, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)5
Dermatology2
Nurse Practitioner2
Pain Management1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1720275027
1241 W. STADIUM BLVD.
Jefferson City, MO 65109
(573) 556-7719
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1417940321
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 556-1706
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1497735195
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 556-7719
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1093265266
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 635-5264
✔ PECOS✔ Accepts Medicare1.1 mi
Dermatology
NPI 1598749467
1241 WEST STADIUM BLVD
Jefferson City, MO 65109
(573) 556-7719
✔ PECOS✔ Accepts Medicare1.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538480587
3520 W EDGEWOOD DR
Jefferson City, MO 65109
(573) 556-7765
✔ Accepts Medicare3.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912006958
1 HOSPITAL DR
Columbia, MO 65201
(573) 882-2568
✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033174800
210 PORTLAND ST STE 100
Columbia, MO 65201
(573) 777-8818
✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922093608
509 W 18TH ST
Hermann, MO 65041
(573) 486-2191
✔ Accepts Medicare41 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588659684
251 SKAGGS RD
Branson, MO 65616
(417) 239-3392
✔ Accepts Medicare144 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D2118598

Jefferson City Medical Group · Jefferson City, MO
Active · expires Apr 5, 2027
CLIA Number26D2118598
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorTheodore Chang
Laboratory Phone(501) 225-1400
Laboratory LocationJefferson City Medical Group1241 West Stadium Blvd, Jefferson City, MO 65109
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson City Medical Group, PC's NPI number?

The NPI number for Jefferson City Medical Group, PC is 1164830337. It was assigned to this organization in the NPPES registry on July 31, 2014. The provider is doing business as Jcmg Pain Management.

Where is Jefferson City Medical Group, PC located?

Jefferson City Medical Group, PC is located at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.

What is Jefferson City Medical Group, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Jefferson City Medical Group, PC enrolled in Medicare?

Yes. Jefferson City Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson City Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Jefferson City Medical Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (5), Dermatology (2) and Nurse Practitioner (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jefferson City Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D2118598) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson City Medical Group, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jefferson City Medical Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson City Medical Group, PC was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.