JOSE S PADILLA JR. MD
NPI 1265449755
Surgery in Lebanon, MO

Q: What is Jose Padilla's NPI number?

The NPI number for Jose Padilla is 1265449755. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Jose Padilla's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Padilla was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment

120 HOSPITAL DR, SUITE 200, LEBANON, MO 65536(417) 533-6780(417) 533-6789 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jose S Padilla Jr. Md NPPES

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

JOSE S PADILLA JR. MD (NPI 1265449755) is an individual surgery provider in Lebanon, Missouri, licensed in Missouri (2015008157) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of University Of Puerto Rico School Of Medicine (1984).

NPPES Registry Identity

NPI1265449755

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJOSE S PADILLA JR.Credential: MD

Location Address120 HOSPITAL DR, SUITE 200Lebanon, MO 65536-9238

Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620 · Fax (417) 829-4316

Phone(417) 533-6780

Fax(417) 533-6789

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1984

Enumeration DateAugust 1, 2006

Last NPPES UpdateJuly 31, 2015

✔ NPI 1265449755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MO · 2015008157✔ Licensed in AR · N8118

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedLegal MedicineTaxonomy 173000000X · License N-8118 (AR)

120 HOSPITAL DR, Lebanon, MO 65536

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Other Identifiers 5

Medicare UPINE32731AR

Medicare PIN132300569MO

MedicaidPENDINGMO

Medicare ID-Type Unspecified54878AR

Medicaid120084001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose S Padilla Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416144290

PECOS Enrollment IDI20101206000660, I20150625002335

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jose Padilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic-Springfield Communities

Same address

Rural Health

120 HOSPITAL DR, SUITE 225
Lebanon, MO 65536

Reassigned Medicare billing, Missouri and Arkansas enrollments
Also billed through NPI 1245277631 (Missouri), NPI 1053350454 (Arkansas)
1,487 clinicians in this Medicare group

NPI 1073642765 (417) 533-6710

Advocates For A Healthy Community Inc

26 mi

Federally Qualified Health Center (FQHC)

119 N ASH ST
Buffalo, MO 65622

Reassigned Medicare billing, Missouri enrollment
182 clinicians in this Medicare group

NPI 1750179610 (417) 831-0150

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

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

95 services26 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

53 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

42 services41 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services37 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

25 services25 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

23 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services17 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

13 services13 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

11 services11 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

11 services11 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260059

Location100 Hospital DriveLebanon, MO 65536 · Laclede County

Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD MULRENIN LPC

Psychologist

120 HOSPITAL DR, STE 100
LEBANON, MO 65536

Laclede County (417) 533-6751

MORGANA HAZELL PSYD

Psychologist (Clinical)

120 HOSPITAL DR, SUITE 100
LEBANON, MO 65536

Laclede County (417) 820-3128

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Clinic/Center (Rural Health)

120 HOSPITAL DR, SUITE 225
LEBANON, MO 65536

Laclede County (417) 533-6710

DEBRA A HOERTH CRNA

Nurse Anesthetist, Certified Registered

120 HOSPITAL DR
LEBANON, MO 65536

Laclede County (417) 533-6100

LISA M. BOGGS FNP-C

Nurse Practitioner (Family)

120 HOSPITAL DR, SUITE 300
LEBANON, MO 65536

Laclede County (417) 533-6746

RAJASEKHAR TANIKELLA MD

Hospitalist

120 HOSPITAL DR
LEBANON, MO 65536

Laclede County (417) 533-6100

DAVID HOUZENGA CRNA

Nurse Anesthetist, Certified Registered

120 HOSPITAL DR
LEBANON, MO 65536

Laclede County (417) 533-6100

MERCY CLINIC SPRINGFIELD COMMUNITIES

Durable Medical Equipment & Medical Supplies

120 HOSPITAL DR, SUITE 250
LEBANON, MO 65536

Laclede County (417) 533-6710

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 Jose Padilla's NPI number?

The NPI number for Jose Padilla is 1265449755. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jose Padilla located?

Jose Padilla practices at 120 Hospital Dr Suite 200, Lebanon, MO 65536. The listed phone number is (417) 533-6780.

What is Jose Padilla's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jose Padilla enrolled in Medicare?

Yes. Jose Padilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jose Padilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Padilla reassigns Medicare benefits to 2 organizations: Mercy Clinic-Springfield Communities (Lebanon, MO) and Advocates For A Healthy Community Inc (Buffalo, MO). Each 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 Jose Padilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Padilla accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and UnitedHealthcare list Jose Padilla 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.

Is Jose Padilla affiliated with any hospitals?

According to CMS data, Jose Padilla is affiliated with Mercy Hospital Lebanon and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Jose Padilla was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.