DR. JASON ROOSTAEIAN (M.D.) – Plastic Surgery Physician, NPI 1346491552
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
Provider Addresses for DR. JASON ROOSTAEIAN (M.D.)
200 UCLA MEDICAL PLZ STE 465
LOS ANGELES, CA 900958344
Phone: (310) 963-2252
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $7,171.
Total Amount is formed as General ($7,171) + Research ($0) + Ownership ($0) = $7,171.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: TELA Bio, Inc. ($2,711).
Total Amount
$7,171
General + Research + Ownership
Payments
59
Total payment records
General Amount
$7,171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $2,711 |
| Davol Inc. | $1,135 |
| ABBVIE INC. | $799 |
| PolyNovo North America LLC | $447 |
| MOTIVA USA, LLC | $331 |
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: 2013-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130608000038 | I | Plastic And Reconstructive Surgery | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 62 | 62 | $0 |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 36 | 31 | $0 |
| 14061 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm | 15 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 11 | $0 |
| 15576 | Creation of flap graft to eyelids, nose, ears, lips, or mouth | 13 | 12 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | NC | |
| General Practice, Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Physical Medicine And Rehabilitation | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA |
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