JON RAST (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1659370922

JON RAST (M.D.) is a healthcare provider. based in Leawood, Kansas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 04-28714 (KS). The NPI Number for JON RAST (M.D.) is 1659370922

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JON RAST (M.D.)
NPI
1659370922
Phone
(913) 451-3722
Address
11501 GRANADA ST
Enumeration Date
19 July 2005
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9134513722118
Graduation Year
1991 (35 years ago)
PAC ID
4385740075
Group Practice PAC ID
4486642006
Professional Enrollment ID
I20111026000604
Address ID
KS662111454LE11501STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

76 PLASTIC AND RECONSTRUCTIVE SURGERY in KS

Provider Addresses for JON RAST (M.D.)

  • 11501 GRANADA ST

    LEAWOOD, KS 662111454

    Phone: (913) 451-3722

    Fax: (913) 451-5000

    Type: Location

  • 11501, Granada Lane, Leawood, Johnson County, Kansas, 66211, United States

    LEAWOOD, KS 662111454

    Phone: (913) 451-3722

    Fax: (913) 451-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $913.

Total Amount is formed as General ($913) + Research ($0) + Ownership ($0) = $913.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($323).

Total Amount

$913

General + Research + Ownership

Payments

47

Total payment records

General Amount

$913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2011-10-26

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
I20111026000604IPlastic And Reconstructive SurgeryKSTBD

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
99202New patient office or other outpatient visit, 15-29 minutes2323$0
99212Established patient office or other outpatient visit, 10-19 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 66211)

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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: 4486642006View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryTX
Plastic And Reconstructive SurgeryKS
Plastic And Reconstructive SurgeryNY
D E R M A T O L O G YKS
Plastic And Reconstructive SurgeryKS
Plastic And Reconstructive SurgeryKS

Reviews

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Frequently asked questions

What is the standard ID for JON RAST (M.D.) in the U.S.?
In the U.S., JON RAST (M.D.) is identified by NPI 1659370922.
Is JON RAST (M.D.)'s NPI status active today?
Active status means JON RAST (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits JON RAST (M.D.)?
NPPES ties JON RAST (M.D.) to Plastic and Reconstructive Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JON RAST (M.D.)?
JON RAST (M.D.) is associated with Leawood, Kansas in the same public data insurers reference.
Why is information missing for JON RAST (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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