JACK L CASSELL (MD) – Urology Physician, NPI 1164505483

JACK L CASSELL (MD) is a healthcare provider. based in Mount dora, Florida. specializing in UROLOGY, SURGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME46095 (FL). The NPI Number for JACK L CASSELL (MD) is 1164505483

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
JACK L CASSELL (MD)
NPI
1164505483
Phone
(352) 383-3773
Address
717 NORTH DONNELLY STREET
Enumeration Date
23 October 2006
Last Update Date
9 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
4183764897
Professional Enrollment ID
I20120511000085
Address ID
FL327574833MO717XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

897 UROLOGY in FL

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Provider Addresses for JACK L CASSELL (MD)

  • 717, North Donnelly Street, Mount Dora, Lake County, Florida, 32757, United States

    MOUNT DORA, FL 32757

    Phone: (352) 383-3773

    Fax: (352) 383-4434

    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 11 Open Payments records for all available years, with a total value of $322.

Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($119).

Total Amount

$322

General + Research + Ownership

Payments

11

Total payment records

General Amount

$322

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2012-05-11

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
I20120511000085IUrologyFLTBD

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 minutes448299$0
51705Simple change of bladder tube11614$0
99203New patient office or other outpatient visit, 30-44 minutes111111$0
52000Diagnostic exam of bladder and urethra using an endoscope7368$0
96402Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle5616$0
View full utilization report →

Insurance plans in this area (ZIP 32757)

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Provider's Procedures

JACK L CASSELL (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYFL55700Biopsy of prostate gland4039
UROLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2424
UROLOGYFL88342Tissue or cell analysis by immunologic technique1915

Reviews

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Frequently asked questions

Is there an official ID for JACK L CASSELL (MD) in U.S. healthcare records?
The official identifier for JACK L CASSELL (MD) is NPI 1164505483.
Is JACK L CASSELL (MD) still an active registrant?
JACK L CASSELL (MD) carries an active NPI according to the public dataset.
What area of care is associated with JACK L CASSELL (MD)?
JACK L CASSELL (MD)'s record emphasizes Urology Physician. Clinical services aligned with this taxonomy classification.
Is JACK L CASSELL (MD) located near Mount Dora?
JACK L CASSELL (MD) currently maps to Mount Dora, Florida in this extract.
Does JACK L CASSELL (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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