DR. JONATHAN BATH (M.D.) – Vascular Surgery Physician, NPI 1811041643

DR. JONATHAN BATH (M.D.) is a healthcare provider. based in Columbia, Missouri. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 2017006898 (MO). The NPI Number for DR. JONATHAN BATH (M.D.) is 1811041643

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN BATH (M.D.)
NPI
1811041643
Phone
(573) 884-3278
Address
1 HOSPITAL DR
Enumeration Date
22 January 2007
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738824141
Graduation Year
2005 (21 years ago)
PAC ID
8628200656
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20170405001023
Address ID
MO652120001CO1XXXXDRXX300
Telehealth
Yes

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

145 VASCULAR SURGERY in MO

Provider Addresses for DR. JONATHAN BATH (M.D.)

  • 1 HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 884-3278

    Fax: (573) 884-5049

    Type: Location

  • University Hospital, 1, Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    COLUMBIA, MO 652120001

    Phone: (573) 882-1308

    Fax: (573) 884-5049

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $22,269.

Total Amount is formed as General ($22,269) + Research ($0) + Ownership ($0) = $22,269.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($16,278).

Total Amount

$22,269

General + Research + Ownership

Payments

82

Total payment records

General Amount

$22,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170405001023IVascular SurgeryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8171$0
99214Established patient office or other outpatient visit, 30-39 minutes7360$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes3834$0
76937Ultrasonic guidance for blood vessel access3128$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 65212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

How is DR. JONATHAN BATH (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JONATHAN BATH (M.D.) with NPI 1811041643.
Can I rely on DR. JONATHAN BATH (M.D.) being an active provider?
As of the registry snapshot, DR. JONATHAN BATH (M.D.) is marked active.
What taxonomy line describes DR. JONATHAN BATH (M.D.)?
For research purposes, treat DR. JONATHAN BATH (M.D.) as Vascular Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. JONATHAN BATH (M.D.) serve?
DR. JONATHAN BATH (M.D.)'s listing highlights Columbia, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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