DR. ROBERT ALAN II JACK (M.D.) – Orthopaedic Surgery Physician, NPI 1023429057

DR. ROBERT ALAN II JACK (M.D.) is a healthcare provider. based in Houston, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. S5392 (TX). The NPI Number for DR. ROBERT ALAN II JACK (M.D.) is 1023429057

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT ALAN II JACK (M.D.)
NPI
1023429057
Phone
Not provided
Address
6445 MAIN ST STE 2500
Enumeration Date
13 May 2014
Last Update Date
6 July 2022

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7133638016
Graduation Year
2014 (12 years ago)
PAC ID
6406181460
Group Practice PAC ID
5193239796
Professional Enrollment ID
I20200819000879
Address ID
TX770241696HO9090XFWYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for DR. ROBERT ALAN II JACK (M.D.)

  • 6445 MAIN ST STE 2500

    HOUSTON, TX 770301502

    Phone:

    Type: Mailing

  • 101 WESTOVER AVE

    APT 105

    NORFOLK, VA 235072307

    Phone: (724) 816-7688

    Type: Mailing

  • 6565 FANNIN STREET,

    MGJ9-THE METHODIST HOSPITAL, GRADUATE MEDICAL EDUCATION

    HOUSTON, TX 77030

    Phone: (713) 441-3556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $737.

Total Amount is formed as General ($737) + Research ($0) + Ownership ($0) = $737.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Stryker Corporation ($645).

Total Amount

$737

General + Research + Ownership

Payments

6

Total payment records

General Amount

$737

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-08-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200819000879IOrthopedic SurgeryTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes254165$0
73030X-ray of shoulder, minimum of 2 views188156$0
20610Aspiration and/or injection of fluid from large joint138112$0
J1030Injection, methylprednisolone acetate, 40 mg132106$0
99204New patient office or other outpatient visit, 45-59 minutes7979$0
View full utilization report →

Insurance plans in this area (ZIP 77030)

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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: 5193239796View full group profile
NameSpecialtyState
E N D O C R I N O L O G YTX
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Thoracic Surgery, Vascular SurgeryTX
O P H T H A L M O L O G YTX
Internal Medicine, HospitalistTX
N E U R O S U R G E R YTX
General SurgeryTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ROBERT ALAN II JACK (M.D.)?
DR. ROBERT ALAN II JACK (M.D.) — NPI 1023429057 — is the standard way to identify this listing.
Is DR. ROBERT ALAN II JACK (M.D.) listed as active for patients and plans?
The listing shows DR. ROBERT ALAN II JACK (M.D.) as active in the NPI system.
What taxonomy line describes DR. ROBERT ALAN II JACK (M.D.)?
For research purposes, treat DR. ROBERT ALAN II JACK (M.D.) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. ROBERT ALAN II JACK (M.D.) based?
DR. ROBERT ALAN II JACK (M.D.) is tied to Houston, Texas in the data we show; additional addresses may exist on the full record.
Why does DR. ROBERT ALAN II JACK (M.D.) 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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