JACK L DEETJEN (M.D.) – Orthopaedic Surgery Physician, NPI 1699723320

JACK L DEETJEN (M.D.) is a healthcare provider. based in Seguin, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. G4967 (TX). The NPI Number for JACK L DEETJEN (M.D.) is 1699723320

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
JACK L DEETJEN (M.D.)
NPI
1699723320
Phone
(830) 379-8371
Address
515 N KING ST
Enumeration Date
5 May 2006
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
8303798371
Graduation Year
1983 (43 years ago)
PAC ID
2961458831
Professional Enrollment ID
I20100610000643
Address ID
TX781554815SE515XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,189 ORTHOPEDIC SURGERY in TX

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Provider Addresses for JACK L DEETJEN (M.D.)

  • 515, North King Street, Seguin, Guadalupe County, Texas, 78155, United States

    SUITE 106

    SEGUIN, TX 781554815

    Phone: (830) 379-8371

    Fax: (830) 379-8378

    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 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($14).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

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: 2010-06-10

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
I20100610000643IOrthopedic 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
99213Established patient office or other outpatient visit, 20-29 minutes225137$0
99203New patient office or other outpatient visit, 30-44 minutes104104$0
J1020Injection, methylprednisolone acetate, 20 mg6851$0
73562X-ray of knee, 3 views6055$0
20610Aspiration and/or injection of fluid from large joint5743$0
View full utilization report →

Insurance plans in this area (ZIP 78155)

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Reviews

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Frequently asked questions

What federal number belongs to JACK L DEETJEN (M.D.)?
The federal identifier for JACK L DEETJEN (M.D.) is NPI 1699723320.
Is JACK L DEETJEN (M.D.) currently active in the NPI registry?
CMS-published data lists JACK L DEETJEN (M.D.) as an active registrant.
What does JACK L DEETJEN (M.D.) treat or focus on?
Patients typically see JACK L DEETJEN (M.D.) under the specialty Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for JACK L DEETJEN (M.D.)?
We surface Seguin, Texas for JACK L DEETJEN (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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