DR. JASON PETRASIC (M.D.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1740623388
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JASON PETRASIC (M.D.)
2222 Welborn St
Dallas, TX 752193924
Phone: (214) 559-5000
Fax: (214) 443-7309
Type: Location
5550 Warren Pkwy Ste 200
Frisco, TX 750347399
Phone: (469) 850-0680
Fax: (469) 850-0681
Type: Location
5550 WARREN PKWY STE 200
FRISCO, TX 750347399
Phone: (469) 850-0680
Fax: (469) 850-0681
Type: Mailing
3800 Gaylord Pkwy Ste 850
Frisco, TX 750340248
Phone: (469) 857-2222
Fax: (469) 857-2223
Type: Location
5700 DALLAS PKWY
FRISCO, TX 750349580
Phone: (469) 515-7100
Fax: (469) 515-7101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-10-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161010001627 | I | Physical Medicine And Rehabilitation | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75219)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 35 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KS | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Orthopedic Surgery | TX |
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