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JACK HAGEMAN
NPI 1538049242
Physical Therapist - Orthopedic in Chesterfield, MO

Active since September 03, 2025Accepts Medicare Assignment
14825 N OUTER 40 RD STE 300, CHESTERFIELD, MO 63017(636) 812-1211 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack Hageman NPPES

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

JACK HAGEMAN (NPI 1538049242) is an individual orthopedic provider in Chesterfield, Missouri and active in the NPI registry since September 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1538049242
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJACK HAGEMAN
Location Address14825 N OUTER 40 RD STE 300Chesterfield, MO 63017-0002
Mailing Address14825 N Outer 40 Rd Ste 300Chesterfield, MO 63017-0002
Phone(636) 812-1211
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1538049242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
14825 N OUTER 40 RD STE 300, Chesterfield, MO 63017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jack Hageman 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 ID6901300391
PECOS Enrollment IDI20250918002571

Medicare Billing Reassignment

Medicare enrollment records show Jack Hageman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athletico Ltd
215 mi
Physical Therapist
229 S STEWART RD STE E-3
Liberty, MO 64068
  • Reassigned Medicare billing, Missouri enrollment
  • 269 clinicians in this Medicare group
NPI 1114449857 (816) 656-3695

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

Other Providers at the Same Location NPPES 5

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

ATHLETICO LTD
Clinic/Center
14825 N OUTER 40 RD STE 300
CHESTERFIELD, MO 63017
St. Louis County (636) 812-1211
MICHAEL A ESSNER DPT
Physical Therapist
14825 N OUTER 40 RD STE 300
CHESTERFIELD, MO 63017
St. Louis County (636) 812-1211
HANNAH E PATON DPT
Physical Therapist
14825 N OUTER 40 RD STE 300
CHESTERFIELD, MO 63017
St. Louis County (636) 812-1211
IAN P MCDONNELL DPT
Physical Therapist
14825 N OUTER 40 RD STE 300
CHESTERFIELD, MO 63017
St. Louis County (636) 812-1211
KATHERINE ELISE MAUS DPT
Physical Therapist
14825 N OUTER 40 RD STE 300
CHESTERFIELD, MO 63017
St. Louis County (636) 812-1211

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 Jack Hageman's NPI number?

The NPI number for Jack Hageman is 1538049242. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Jack Hageman located?

Jack Hageman practices at 14825 N Outer 40 Rd Ste 300, Chesterfield, MO 63017. The listed phone number is (636) 812-1211.

What is Jack Hageman's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jack Hageman enrolled in Medicare?

Yes. Jack Hageman 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 organization bills Medicare for Jack Hageman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hageman reassigns Medicare benefits to Athletico Ltd (Liberty, MO). The 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 Jack Hageman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Hageman accept?

Health plans from Anthem Blue Cross and Blue Shield list Jack Hageman 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 Jack Hageman was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.