JACK BYRON LEWIS (M.D.) – Urology Physician, NPI 1396706487
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACK BYRON LEWIS (M.D.)
500 5th St
Brookings, OR 974159702
Phone: (541) 412-2000
Fax: (541) 412-2081
Type: Location
252 MATLOCK RD STE 244
MANSFIELD, TX 760634294
Phone: (817) 784-8268
Fax: (817) 477-8881
Type: Mailing
1698, East McAndrews Road, Medford, Jackson County, Oregon, 97504, United States
STE 280
MEDFORD, OR 975045589
Phone: (541) 774-5808
Fax: (541) 732-3910
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Boston Scientific Corporation ($168).
Total Amount
$299
General + Research + Ownership
Payments
9
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $168 |
| Olympus America Inc. | $110 |
| Endo Pharmaceuticals Inc. | $21 |
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: 2020-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080512000591 | I | Urology | OR | TBD |
| I20200601000609 | I | Urology | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 173 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 77 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 78 | 62 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 84153 | Psa (prostate specific antigen) measurement, total | 52 | 41 | $0 |
Insurance plans in this area (ZIP 97415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Physician Assistant | MD | |
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | NY | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Family Practice | TX |
Reviews
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