JASON TRAVIS STACK (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1164869699

JASON TRAVIS STACK (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. ME135652 (FL). The NPI Number for JASON TRAVIS STACK (M.D.) is 1164869699

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JASON TRAVIS STACK (M.D.)
NPI
1164869699
Phone
(321) 841-1764
Address
1222 S Orange Ave
Enumeration Date
23 May 2013
Last Update Date
8 August 2021

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7723889510
Graduation Year
2013 (13 years ago)
PAC ID
7911145701
Group Practice PAC ID
2567454051
Professional Enrollment ID
I20180727002647
Address ID
FL329583783SE801XXWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for JASON TRAVIS STACK (M.D.)

  • 1222 S Orange Ave

    5th Floor MP 43

    Orlando, FL 328061215

    Phone: (321) 841-1764

    Fax: (321) 843-6992

    Type: Location

  • 801 Wellness Way Ste 100

    Sebastian, FL 329583783

    Phone: (772) 509-2330

    Fax: (772) 569-2630

    Type: Location

  • 1155 35TH LN STE 100

    VERO BEACH, FL 329606522

    Phone: (772) 569-2330

    Fax: (772) 569-2630

    Type: Mailing

  • 3955 INDIAN RIVER BLVD STE 100

    VERO BEACH, FL 329604800

    Phone: (772) 569-2330

    Fax: (772) 569-2632

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $5,226.

Total Amount is formed as General ($5,226) + Research ($0) + Ownership ($0) = $5,226.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Stryker Corporation ($4,492).

Total Amount

$5,226

General + Research + Ownership

Payments

90

Total payment records

General Amount

$5,226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2018-07-27

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
I20180727002647IOrthopedic SurgeryFLTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,400164$0
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg84024$0
J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg83616$0
99214Established patient office or other outpatient visit, 30-39 minutes743532$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58471$0
View full utilization report →

Insurance plans in this area (ZIP 32806)

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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: 2567454051View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Nurse PractitionerFL
Occupational Therapist In Private PracticeFL
Orthopedic SurgeryFL
Orthopedic Surgery, Hand SurgeryFL
-FL
Physician AssistantFL
Orthopedic Surgery, Sports MedicineLA
Orthopedic SurgeryFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What is the registry number for JASON TRAVIS STACK (M.D.)?
The registry entry for JASON TRAVIS STACK (M.D.) shows NPI 1164869699.
Does the public listing show JASON TRAVIS STACK (M.D.) as active?
JASON TRAVIS STACK (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say JASON TRAVIS STACK (M.D.) does?
Insurance directories may phrase it differently, but here JASON TRAVIS STACK (M.D.) maps to Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JASON TRAVIS STACK (M.D.) in Orlando, Florida?
For routing, start with Orlando, Florida for JASON TRAVIS STACK (M.D.), then verify phone and hours locally.
Why is information missing for JASON TRAVIS STACK (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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