JACK DAULTON BISSETT (M.D.) – Infectious Disease Physician, NPI 1407874027

JACK DAULTON BISSETT (M.D.) is a healthcare provider. based in Austin, Texas. specializing in INFECTIOUS DISEASE. They hold the professional credentials M.D.. They hold a License No. F9210 (TX). The NPI Number for JACK DAULTON BISSETT (M.D.) is 1407874027

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JACK DAULTON BISSETT (M.D.)
NPI
1407874027
Phone
(512) 459-9710
Address
1301 W 38TH ST
Enumeration Date
18 July 2006
Last Update Date
13 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
5124590301
Graduation Year
1981 (45 years ago)
PAC ID
4880690619
Group Practice PAC ID
9436155264
Professional Enrollment ID
I20101217000672
Address ID
TX787051013AU1301XSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

677 INFECTIOUS DISEASE in TX

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Provider Addresses for JACK DAULTON BISSETT (M.D.)

  • Capital Medical Clinic: Aventa Tony MD, 1301, West 38th Street, Rosedale, Austin, Travis County, Texas, 78705, United States

    SUITE 403

    AUSTIN, TX 787051000

    Phone: (512) 459-9710

    Fax: (512) 459-9701

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,036.

Total Amount is formed as General ($1,036) + Research ($0) + Ownership ($0) = $1,036.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ViiV Healthcare Company ($207).

Total Amount

$1,036

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,036

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

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: 2010-12-17

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
I20101217000672IInfectious DiseaseTXTBD

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
96521Refilling and maintenance of portable pump23717$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11457$0
99213Established patient office or other outpatient visit, 20-29 minutes10770$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9845$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8886$0
View full utilization report →

Insurance plans in this area (ZIP 78705)

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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: 9436155264View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineTX
Certified Clinical Nurse Specialist (Cns)TX
Infectious DiseaseTX
Certified Clinical Nurse Specialist (Cns)TX
Infectious DiseaseTX
Infectious Disease, Internal MedicineTX
Infectious Disease, Internal MedicineTX
Infectious DiseaseOR
Internal MedicineTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JACK DAULTON BISSETT (M.D.)?
JACK DAULTON BISSETT (M.D.) — NPI 1407874027 — is the standard way to identify this listing.
Does CMS list JACK DAULTON BISSETT (M.D.) as active?
Yes — JACK DAULTON BISSETT (M.D.) is active in the NPI listing used on this page.
What is JACK DAULTON BISSETT (M.D.) best known for clinically?
Directory data describes JACK DAULTON BISSETT (M.D.) with Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JACK DAULTON BISSETT (M.D.)?
JACK DAULTON BISSETT (M.D.)'s geographic hint is Austin, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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