Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN PULSIPHER DO
NPI 1821679176
Surgery in Rolla, MO

Q: What is Jonathan Pulsipher's NPI number?

The NPI number for Jonathan Pulsipher is 1821679176. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Jonathan Pulsipher's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 19, 2021PECOS Enrolled

1060 W 10TH ST, ROLLA, MO 65401(855) 406-3324(573) 458-8363 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Apr 19, 2021 (2 updates tracked since 2021).

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About Jonathan Pulsipher Do NPPES

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

JONATHAN PULSIPHER DO (NPI 1821679176) is an individual surgery provider in Rolla, Missouri, licensed in Missouri (2026034153) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821679176

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJONATHAN PULSIPHERCredential: DO

Location Address1060 W 10TH STRolla, MO 65401-2905

Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000 · Fax (573) 426-2108

Phone(855) 406-3324

Fax(573) 458-8363

Sole ProprietorNo

Enumeration DateApril 19, 2021

Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1821679176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MO · 2026034153

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1060 W 10TH ST, Rolla, MO 65401

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Secondary Practice Locations 2

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Location 21301 S Crismon RdMesa, AZ 85209-3767 · Phone (480) 358-6100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Pulsipher Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

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 15

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

DR. JOEL AMOS LEON BECERRIL MD

Urology