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Dr. Jonathan Pulsipher , DO

Surgery β€’ Rolla, MO

Active NPI 1821679176 Individual Practitioner Male Practitioner
Practice location in NPPES

1060 W 10th St
Rolla, MO 654012905

Call 8554063324 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1060 W 10th St

Rolla, MO 654012905

Telephone 8554063324
Fax 5734588363
Organization at the Same NPPES Address or Phone
Pcrmc Medical Group Inc Facility NPI 1093012890

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Mesa, AZ; Rolla, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

12 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$63 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Pulsipher as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rolla and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under Surgery in Missouri (2024, 367 clinicians with data). Median for this group: 66. Middle half: 28 to 138.

Too few clinicians listed under Surgery in Rolla have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Surgery in Missouri (2024, 367 clinicians with data). Median for this group: $376. Middle half: $114 to $1,301.

Too few clinicians listed under Surgery in Rolla have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Surgery with a practice address in Rolla, MO (715 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Odt Ondansetron 12 60 $62.65 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MO 2026034153

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1000 W 10th St

Rolla, MO 654012905

Phone: 5734588899

1000 W 10th St

Rolla, MO 654012905

Phone: 5733649000

1301 S Crismon Rd

Mesa, AZ 852093767

Phone: 4803586100

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Salli Lamberth , NP

Nurse Practitioner

NPI 1245877620

Nurse Practitioner

NPI 1013295419

Doctor of Medicine (M.D.)

Jinna Lisenbe , ANP

Nurse Practitioner - Adult Health

NPI 1245658335

Adult Nurse Practitioner

NPI 1144751843

Doctor of Medicine (M.D.)

Dr. Mark Pajeau , MD

Internal Medicine - Hematology & Oncology

NPI 1114131711

Doctor of Medicine (M.D.)

NPI 1669039665

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 22, 2026

Registered at 1060 W 10TH ST, ROLLA, MO 654012905 (Tel: 8554063324)

πŸ“
Updated Business Mailing Address July 22, 2026

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2026

Surgery (license number reported to NPPES: MO 2026034153)

βœ…
NPI Profile Active April 19, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 19, 2021

Registered at 1301 S CRISMON RD, MESA, AZ 852093767 (Tel: 4803586100)

πŸ“
Business Mailing Address (Initial Record) April 19, 2021

Registered at 4466 W BARTLETT DR, HERRIMAN, UT 840961979 (Tel: 9163802634)

πŸ‘€
Provider Name / Credentials (Initial Record) April 19, 2021

Recorded as JONATHAN PULSIPHER, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 19, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821679176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2021
Last Update: July 22, 2026
Sole Proprietor: No

Other Surgery Specialists in Rolla

Healthcare providers in Rolla

Mailing Address

1050 W 10th St

Rolla, MO 654012905

Phone: 5733649000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.