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JONATHAN DALE PRIVETT M.D.
NPI 1912945957
Family Medicine in Laurie, MO

Active since June 03, 2006PECOS Enrolled
156 MISSOURI BLVD, STE B, LAURIE, MO 65038(573) 374-5263(573) 374-4933 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2018, Feb 12, 2016, Feb 3, 2016 (3 updates tracked since 2016).

About Jonathan Dale Privett M.d. NPPES

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

JONATHAN DALE PRIVETT M.D. (NPI 1912945957) is an individual family medicine provider in Laurie, Missouri, licensed in Missouri (2003001992) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Iberia.

NPPES Registry Identity

NPI1912945957
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN DALE PRIVETTCredential: M.D.
Location Address156 MISSOURI BLVD, STE BLaurie, MO 65038
Mailing Address54 Hospital DrOsage Beach, MO 65065-3050 · (573) 348-8399 · Fax (573) 348-8309
Phone(573) 374-5263
Fax(573) 374-4933
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateMay 7, 20183 updates tracked since enumeration
✔ NPI 1912945957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2003001992
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2003001992 (MO)
156 MISSOURI BLVD, Laurie, MO 65038
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Secondary Practice Location 1

Location 12333 Highway 17Iberia, MO 65486-9331 · Phone (573) 793-6900 · Fax (573) 793-6688

Other Identifiers 2

Medicaid207431909MO
Medicaid1912945957MO

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 Dale Privett M.d. 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 65038 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
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers29 claims67 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims18 services$1.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier35 claims35 services$20.09 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier17 claims19 services$16.85 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims19 services$50.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers40 claims40 services$109.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ERRICA COON MSN, APRN, FNP-C
Nurse Practitioner (Family)
156 MISSOURI BLVD, STE B
LAURIE, MO 65038
Morgan County (573) 374-5263
DR. DAVID GERARD MOOK M.D.
Internal Medicine
156 MISSOURI BLVD, SUITE B
LAURIE, MO 65038
Morgan County (573) 374-5263

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 Jonathan Privett's NPI number?

The NPI number for Jonathan Privett is 1912945957. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Jonathan Privett located?

Jonathan Privett practices at 156 Missouri Blvd Ste B, Laurie, MO 65038. The listed phone number is (573) 374-5263.

What is Jonathan Privett's specialty?

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

Is Jonathan Privett enrolled in Medicare?

Yes. Jonathan Privett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Privett was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.