JACK T STAPLETON (MD) – Infectious Disease Physician, NPI 1083603773

JACK T STAPLETON (MD) is a healthcare provider. based in Iowa city, Iowa. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25543 (IA). The NPI Number for JACK T STAPLETON (MD) is 1083603773

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
JACK T STAPLETON (MD)
NPI
1083603773
Phone
(319) 356-3168
Address
200 HAWKINS DR
Enumeration Date
17 October 2005
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8778915350
Graduation Year
1980 (46 years ago)
PAC ID
9830231604
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20100118000219
Address ID
IA506135845CE2624XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

91 INFECTIOUS DISEASE in IA

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Provider Addresses for JACK T STAPLETON (MD)

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    IOWA CITY, IA 522421009

    Phone: (319) 356-3168

    Fax: (319) 356-4600

    Type: Mailing

  • 701 W Forevergreen Rd

    North Liberty, IA 523179848

    Phone: (319) 356-2633

    Fax: (319) 356-3949

    Type: Location

  • 2624 Orchard Dr

    Cedar Falls, IA 506135845

    Phone: (877) 891-5350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-18

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
I20100118000219IInfectious DiseaseIATBD

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 minutes3925$0
View full utilization report →

Insurance plans in this area (ZIP 52242)

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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: 7618884230View full group profile

Reviews

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Frequently asked questions

Does JACK T STAPLETON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JACK T STAPLETON (MD) uses 1083603773.
Does CMS list JACK T STAPLETON (MD) as active?
Yes — JACK T STAPLETON (MD) is active in the NPI listing used on this page.
What is JACK T STAPLETON (MD)'s primary classification?
Infectious Disease Physician is the headline specialty for JACK T STAPLETON (MD) here. Clinical services aligned with this taxonomy classification.
What area does JACK T STAPLETON (MD) serve?
JACK T STAPLETON (MD)'s listing highlights Iowa City, Iowa; more addresses can appear in NPPES.
Why does JACK T STAPLETON (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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