JASON PACK (MD) – Diagnostic Radiology Physician, NPI 1861549743
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 DIAGNOSTIC RADIOLOGY in OK
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Provider Addresses for JASON PACK (MD)
PO BOX 720778
NORMAN, OK 730704602
Phone: (405) 535-7669
Type: Mailing
AllianceHealth Midwest, 2825, Parklawn Drive, Midwest City, Oklahoma County, Oklahoma, 73110, United States
RADIOLOGY DEPT.
MIDWEST CITY, OK 731104201
Phone: (405) 610-8398
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: 2020-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20090305000362 | I | Diagnostic Radiology | TX | TBD |
| I20090423000718 | I | Diagnostic Radiology | OK | TBD |
| I20200130000647 | I | Diagnostic Radiology | NM | 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 |
|---|---|---|---|---|
| 73721 | Mri scan of leg joint without contrast | 689 | 632 | $0 |
| 73700 | Ct scan of leg without contrast | 657 | 617 | $0 |
| 73221 | Mri scan of arm joint without contrast | 488 | 454 | $0 |
| 73718 | Mri scan of leg without contrast | 138 | 133 | $0 |
| 73200 | Ct scan of arm without contrast | 129 | 127 | $0 |
Insurance plans in this area (ZIP 73070)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OK | 71250 | CT scan chest | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | OK | 73562 | X-ray of knee, 3 views | 73 | 61 |
| DIAGNOSTIC RADIOLOGY | OK | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 40 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | MN | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | VA |
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