DR. JACK W III ROSTAS (M.D.) – Surgical Oncology Physician, NPI 1902063282
Surgical Oncology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
253 SURGICAL ONCOLOGY in TX
Provider Addresses for DR. JACK W III ROSTAS (M.D.)
3509 22ND ST
LUBBOCK, TX 794101307
Phone: (806) 799-7928
Fax: (806) 788-8560
Type: Mailing
4101 22ND PL
LUBBOCK, TX 794101121
Phone: (806) 799-7928
Fax: (806) 788-8560
Type: Location
3509 22nd St
Lubbock, TX 794101307
Phone: (806) 799-7928
Fax: (806) 788-8560
Type: Location
3611 22nd Pl
Lubbock, TX 794101317
Phone: (806) 771-2222
Fax: (806) 771-2224
Type: Location
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
SPRINGFIELD, IL 62703
Phone: (217) 528-7541
Type: Mailing
Daviess Community Hospital, 1314, East Walnut Street, Washington, Daviess County, Indiana, 47501, United States
WASHINGTON, IN 475012860
Phone: (812) 254-2760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $666.
Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Endomagnetics Ltd ($152).
Total Amount
$666
General + Research + Ownership
Payments
14
Total payment records
General Amount
$666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endomagnetics Ltd | $152 |
| Integra LifeSciences Corporation | $139 |
| Ethicon US, LLC | $116 |
| Stryker Corporation | $74 |
| AngioDynamics, Inc. | $46 |
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: 2022-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20120723000227 | I | General Surgery | AL | TBD |
| I20171212000200 | I | General Surgery | IN | TBD |
| I20220216000534 | I | Surgical Oncology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 38 | 29 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 36 | 36 | $0 |
| 36561 | Insertion of central venous tube with port (5 years or older) | 22 | 22 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 21 | 21 | $0 |
Insurance plans in this area (ZIP 79410)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| Colorectal Surgery (Proctology), General Surgery | TX | |
| General Surgery | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| General Surgery | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.