JEFFERSON CITY DERMATOLOGY
NPI 1972668903
Dermatology in Jefferson City, MO
About Jefferson City Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON CITY DERMATOLOGY (NPI 1972668903) is a healthcare organization registered as a dermatology in Jefferson City, Missouri and active in the NPI registry since December 2006. The organization lists Jeffrey Lee Patrick, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson City Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Jefferson City Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jefferson City Medical Group, P.C.'s NPI number?
The NPI number for Jefferson City Medical Group, P.C. is 1972668903. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Jefferson City Dermatology.
Where is Jefferson City Medical Group, P.C. located?
Jefferson City Medical Group, P.C. is located at 1241 W Stadium Blvd Suite 1407, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.
What is Jefferson City Medical Group, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jefferson City Medical Group, P.C. enrolled in Medicare?
Yes. Jefferson City Medical Group, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jefferson City Medical Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Jefferson City Medical Group, P.C.. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (5), Dermatology (2) and Nurse Practitioner (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson City Medical Group, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Jefferson City Medical Group, P.C. 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 Jefferson City Medical Group, P.C. was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jefferson City Dermatology · NPI 1972668903
Dermatology organization in Jefferson City, Missouri. Organization record, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1972668903 (Entity type: Organization)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Jefferson City Medical Group, P.c.
- **Organization subpart:** No
- **Authorized official:** Jeffrey Patrick, PRESIDENT
## Practice location
- **Address:** 1241 W STADIUM BLVD, SUITE 1407, Jefferson City, MO 65109-6023
- **Phone:** (573) 635-5264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (5), Dermatology (2), Nurse Practitioner (2); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 26, 2018
- **Other identifiers:** Other CD6059 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1972668903) · Data from the CMS NPPES public registry.