JASON SCOTT PUCKETT MD
NPI 1265727408
Internal Medicine - Gastroenterology in Grand Rapids, MI

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
4100 LAKE DR SE STE 205, GRAND RAPIDS, MI 49546(616) 267-7414 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Jun 2, 2021 (2 updates tracked since 2021).

About Jason Scott Puckett Md NPPES

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

JASON SCOTT PUCKETT MD (NPI 1265727408) is an individual gastroenterology provider in Grand Rapids, Michigan, licensed in Michigan (4301111232) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2011).

NPPES Registry Identity

NPI1265727408
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJASON SCOTT PUCKETTCredential: MD
Location Address4100 LAKE DR SE STE 205Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1265727408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MI · 4301111232
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4100 LAKE DR SE STE 205, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jason Scott Puckett 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 ID4981852837
PECOS Enrollment IDI20250725002443
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.

Areas of Expertise CMS Part B claims 9

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
74 services70 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.
41 services39 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.
40 services40 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.
27 services27 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.
21 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Colon & Rectal Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Colon & Rectal Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Internal Medicine (Gastroenterology)
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546

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 Jason Puckett's NPI number?

The NPI number for Jason Puckett is 1265727408. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Jason Puckett located?

Jason Puckett practices at 4100 Lake Dr SE Ste 205, Grand Rapids, MI 49546. The listed phone number is (616) 267-7414.

What is Jason Puckett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jason Puckett enrolled in Medicare?

Yes. Jason Puckett 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.

What insurance does Jason Puckett accept?

Health plans from Blue Cross and Blue Shield of Montana, McLaren Health Plan Community, Mountain Health CO-OP, Priority Health and Providence Health Plan list Jason Puckett 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 Jason Puckett affiliated with any hospitals?

According to CMS data, Jason Puckett is affiliated with Spectrum Health and Great Falls Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Jason Puckett was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.