DR. JONATHAN POLLACK (MD) – Plastic Surgery Physician, NPI 1972572360
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
162 PLASTIC AND RECONSTRUCTIVE SURGERY in MO
Provider Addresses for DR. JONATHAN POLLACK (MD)
701 S NEW BALLAS RD STE 310
SAINT LOUIS, MO 631418725
Phone: (314) 251-8750
Fax: (314) 251-8751
Type: Mailing
621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 7003-B
SAINT LOUIS, MO 631418232
Phone: (314) 251-5570
Fax: (314) 251-5571
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $278.
Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Avita Medical Americas, Llc ($67).
Total Amount
$278
General + Research + Ownership
Payments
13
Total payment records
General Amount
$278
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avita Medical Americas, Llc | $67 |
| ABBVIE INC. | $45 |
| Avita Medical Americas, LLC | $42 |
| PolyNovo North America LLC | $31 |
| Smith+Nephew, Inc. | $30 |
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: 2004-10-19
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 |
|---|---|---|---|---|
| I20041019000792 | I | Plastic And Reconstructive Surgery | MO | 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 |
|---|---|---|---|---|
| 15003 | Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 134 | 13 | $0 |
| 15101 | Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 109 | 12 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 77 | 17 | $0 |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 17 | 13 | $0 |
| 15100 | Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 15 | 12 | $0 |
Insurance plans in this area (ZIP 63141)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Plastic And Reconstructive Surgery, General Surgery | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Plastic And Reconstructive Surgery | MI | |
| Plastic And Reconstructive Surgery | MO | |
| - | MO | |
| Nurse Practitioner | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.