DR. DONALD JACK ROBERTSON (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1447307871

DR. DONALD JACK ROBERTSON (M.D.) is a healthcare provider. based in Lubbock, Texas. specializing in THORACIC SURGERY, CARDIAC SURGERY, GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. F7107 (TX). The NPI Number for DR. DONALD JACK ROBERTSON (M.D.) is 1447307871

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD JACK ROBERTSON (M.D.)
NPI
1447307871
Phone
(806) 761-0334
Address
5219 CITY BANK PKWY
Enumeration Date
5 January 2007
Last Update Date
23 February 2017

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8063594673
Graduation Year
1980 (46 years ago)
PAC ID
6507761491
Group Practice PAC ID
3971748146
Professional Enrollment ID
I20120306000764
Address ID
TX791061711AM1751XBLVD300
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

395 THORACIC SURGERY in TX

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Provider Addresses for DR. DONALD JACK ROBERTSON (M.D.)

  • City Bank, 5219, City Bank Parkway, Lubbock, Texas, 79407, United States

    SUITE 135

    LUBBOCK, TX 794073544

    Phone: (806) 761-0334

    Fax: (806) 782-0097

    Type: Mailing

  • Medical Office Plaza I, 3502, 9th Street, Lubbock, Texas, 79415, United States

    STE 260

    LUBBOCK, TX 794153300

    Phone: (806) 792-8185

    Fax: (806) 792-9180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,802.

Total Amount is formed as General ($1,802) + Research ($0) + Ownership ($0) = $1,802.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,429).

Total Amount

$1,802

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,802

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2012-03-06

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
I20120306000764IThoracic 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
33361Replacement of aortic valve through the skin and femoral artery6665$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2121$0
33533Coronary artery bypass using artery graft, 1 graft2020$0
99212Established patient office or other outpatient visit, 10-19 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 79407)

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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: 3971748146View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
General Practice, Undersea And Hyperbaric MedicineTX
Nurse PractitionerTX
General SurgeryTX
-TX
H O S P I T A L I S TOR
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the standard ID for DR. DONALD JACK ROBERTSON (M.D.) in the U.S.?
In the U.S., DR. DONALD JACK ROBERTSON (M.D.) is identified by NPI 1447307871.
Does the public listing show DR. DONALD JACK ROBERTSON (M.D.) as active?
DR. DONALD JACK ROBERTSON (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. DONALD JACK ROBERTSON (M.D.)?
NPPES ties DR. DONALD JACK ROBERTSON (M.D.) to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DONALD JACK ROBERTSON (M.D.)?
The directory associates DR. DONALD JACK ROBERTSON (M.D.) with Lubbock, Texas. Check all listed addresses for suites or satellite offices.
Can I export DR. DONALD JACK ROBERTSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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