MR. JEFFREY MICHAEL DITTER NP
NPI 1508307190
Nurse Practitioner in Lake St Louis, MO

Q: What is Jeffrey Ditter's NPI number?

The NPI number for Jeffrey Ditter is 1508307190. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Q: What is Jeffrey Ditter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Ditter was last updated on January 13, 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.

Active since March 15, 2017PECOS EnrolledAccepts Medicare Assignment

100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367(636) 625-5200(636) 625-5314 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2021, Mar 15, 2017 (2 updates tracked since 2017).

On this page

About Mr. Jeffrey Michael Ditter Np NPPES

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

MR. JEFFREY MICHAEL DITTER NP (NPI 1508307190) is an individual nurse practitioner in Lake St Louis, Missouri, licensed in Missouri (2017004715) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Center Branson, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508307190

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. JEFFREY MICHAEL DITTERCredential: NP

Location Address100 MEDICAL PLZLake St Louis, MO 63367-1366

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(636) 625-5200

Fax(636) 625-5314

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 15, 2017

Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2021

✔ NPI 1508307190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MO · 2017004715✔ Licensed in IA · A155084

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

100 MEDICAL PLZ, Lake St Louis, MO 63367

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mr. Jeffrey Michael Ditter Np 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 ID8123305067

PECOS Enrollment IDI20170503000331

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 Jeffrey Ditter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cole Physician Services LLC

78 mi

Hospitalist

100 ST. MARY'S MEDICAL PLAZA
Jefferson City, MO 65101

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

NPI 1144578659 (573) 761-7011

Skaggs Community Hospital Association

193 mi

Rural Health

13852 US HIGHWAY 160
Forsyth, MO 65653

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

NPI 1861423683 (417) 546-3500

Sioux City Hospitalist Group, LLC

390 mi

Hospitalist

801 5TH ST
Sioux City, IA 51101

Reassigned Medicare billing, Iowa enrollment
48 clinicians in this Medicare group

NPI 1427789148 (712) 279-2010

Southeastern Physician Services PC

407 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

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

NPI 1083835441 (865) 481-1000

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

69 services68 patients

Hospital Affiliations CMS Care Compare

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

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260094

Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63367 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%99 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

VICTORIA LYNN HINES NP

Nurse Practitioner

100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

St. Charles County (636) 625-5200

LAKE FOREST EMERGENCY GROUP LLC

Emergency Medicine

100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

St. Charles County (636) 625-5200

EVE WEINDELL BARNOSKI LPTA

Physical Therapy Assistant

100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367

St. Charles County (636) 485-7608

JOSHUA HARKLESS MD

Emergency Medicine

100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

St. Charles County (636) 625-5300

MELISSA COLLEEN HYNES MHS, CCC-SLP

Speech-Language Pathologist

100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

St. Charles County (636) 755-3997

AKIKO OKABE AGACNP

Nurse Practitioner (Acute Care)

100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

St. Charles County (314) 317-0600

KENDRICK J WILLIAMS MD

Pediatrics

100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367

St. Charles County (636) 625-5300

YUNHEE CHOI CRUSE CNP, FNP-BC

Nurse Practitioner (Family)

100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

St. Charles County (636) 625-5200

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 Jeffrey Ditter's NPI number?

The NPI number for Jeffrey Ditter is 1508307190. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Where is Jeffrey Ditter located?

Jeffrey Ditter practices at 100 Medical Plz, Lake St Louis, MO 63367. The listed phone number is (636) 625-5200.

What is Jeffrey Ditter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeffrey Ditter enrolled in Medicare?

Yes. Jeffrey Ditter 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 Jeffrey Ditter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Ditter reassigns Medicare benefits to 4 organizations: Cole Physician Services LLC (Jefferson City, MO), Skaggs Community Hospital Association (Forsyth, MO), Sioux City Hospitalist Group, LLC (Sioux City, IA) and Southeastern Physician Services PC (Oak Ridge, TN). 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 Jeffrey Ditter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Ditter accept?

Health plans from Oscar Insurance Company list Jeffrey Ditter 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 Jeffrey Ditter affiliated with any hospitals?

According to CMS data, Jeffrey Ditter is affiliated with Cox Medical Center Branson.

When was this NPI record last updated?

The NPPES record for Jeffrey Ditter was last updated on January 13, 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.