DR. JASON KORT WOODY SR. DO
NPI 1295304103
Family Medicine in Saint Louis, MO

Q: What is Jason Woody's NPI number?

The NPI number for Jason Woody is 1295304103. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Q: What is Jason Woody's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Woody was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 June 24, 2021PECOS EnrolledAccepts Medicare Assignment

3721 S GRAND BLVD, SAINT LOUIS, MO 63118(314) 328-0144(314) 788-3021 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Sep 19, 2025, Aug 7, 2024 and 1 more (4 updates tracked since 2021).

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About Dr. Jason Kort Woody Sr. Do NPPES

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

DR. JASON KORT WOODY SR. DO (NPI 1295304103) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2024028667) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2021).

NPPES Registry Identity

NPI1295304103

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JASON KORT WOODY SR.Credential: DO

Location Address3721 S GRAND BLVDSaint Louis, MO 63118-3405

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117 · Fax (305) 393-5989

Phone(314) 328-0144

Fax(314) 788-3021

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2021

Enumeration DateJune 24, 2021

Last NPPES UpdateJanuary 5, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1295304103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2024028667✔ Licensed in MO · 2021024168

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3721 S GRAND BLVD, Saint Louis, MO 63118

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Secondary Practice Locations 2

Location 12345 Dougherty Ferry RdSaint Louis, MO 63122-3313 · Phone (314) 966-9586 · Fax (314) 966-9394

Location 21471 US Highway 61Festus, MO 63028-4109 · Phone (636) 937-2700 · Fax (636) 937-8666

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

Dr. Jason Kort Woody Sr. Do 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 ID4587069539

PECOS Enrollment IDI20240910002808

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 Jason Woody reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Groups Lc

13 mi

Multi-Specialty

670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141

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

NPI 1285664268 (314) 996-7644

Dedicated Missouri Holding, LLC

1,050 mi

Internal Medicine

1395 NW 167TH ST
Miami Gardens, FL 33169

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

NPI 1053958082 (305) 628-6117

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 3

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 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.

36 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services13 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63118 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 7

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

CHIA-YUAN HSU

Internal Medicine