Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JAY R PEMBERTON DO
NPI 1700878907
Emergency Medicine in Blue Springs, MO

Active since August 16, 2005PECOS Enrolled
201 W R D MIZE RD, BLUE SPRINGS, MO 64014(816) 228-5900 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jay R Pemberton Do NPPES

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

DR. JAY R PEMBERTON DO (NPI 1700878907) is an individual emergency medicine provider in Blue Springs, Missouri, licensed in Missouri (36771) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Lafayette Regional Health Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1985).

NPPES Registry Identity

NPI1700878907
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAY R PEMBERTONCredential: DO
Location Address201 W R D MIZE RDBlue Springs, MO 64014-2518
Mailing AddressPo Box 414965Kansas City, MO 64141-4965 · (913) 234-1350
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1985
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1700878907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MO · 36771
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

201 W R D MIZE RD, Blue Springs, MO 64014

Other Identifiers 1

Other12605135MO · Bcbs Mo

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

Dr. Jay R Pemberton 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 ID2769431345
PECOS Enrollment IDI20050124000114
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
70 services69 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Lafayette Regional Health Center

Critical Access Hospitals · Lexington, MO
OwnershipProprietary
CMS Certification Number261320
Location1500 State StreetLexington, MO 64067 · Lafayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64014 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 9

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

Emergency Medicine
201 W R D MIZE RD
BLUE SPRINGS, MO 64014
Pharmacist
201 W R D MIZE RD
BLUE SPRINGS, MO 64014
Emergency Medicine
201 W R D MIZE RD
BLUE SPRINGS, MO 64014
Emergency Medicine
201 W R D MIZE RD
BLUE SPRINGS, MO 64014
Emergency Medicine
201 W R D MIZE RD
BLUE SPRINGS, MO 64014
Emergency Medicine (Undersea and Hyperbaric Medicine)
201 W R D MIZE RD
BLUE SPRINGS, MO 64014
Emergency Medicine (Undersea and Hyperbaric Medicine)
201 W R D MIZE RD
BLUE SPRINGS, MO 64014
Emergency Medicine (Undersea and Hyperbaric Medicine)
201 W R D MIZE RD
BLUE SPRINGS, MO 64014

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 Jay Pemberton's NPI number?

The NPI number for Jay Pemberton is 1700878907. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Jay Pemberton located?

Jay Pemberton practices at 201 W R D Mize Rd, Blue Springs, MO 64014. The listed phone number is (816) 228-5900.

What is Jay Pemberton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jay Pemberton enrolled in Medicare?

Yes. Jay Pemberton 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 Jay Pemberton accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Jay Pemberton 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 Jay Pemberton affiliated with any hospitals?

According to CMS data, Jay Pemberton is affiliated with Lafayette Regional Health Center.

When was this NPI record last updated?

The NPPES record for Jay Pemberton was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.