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JACE PHILIP LANDRY MD
NPI 1063807550
Surgery - Surgical Oncology in Houston, TX

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Aug 6, 2019 (2 updates tracked since 2019).

About Jace Philip Landry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACE PHILIP LANDRY MD (NPI 1063807550) is an individual surgical oncology provider in Houston, Texas, licensed in Maine (MD29704) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063807550
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameJACE PHILIP LANDRYCredential: MD
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000
Mailing Address887 Congress St Ste 400Portland, ME 04102-3163 · (207) 774-6368 · Fax (207) 774-9388
Phone(713) 792-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1063807550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in ME · MD29704
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License MD29704 (ME), R9093 (TX)
1515 HOLCOMBE BLVD, Houston, TX 77030
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jace Philip Landry Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668762030
PECOS Enrollment IDI20251014001610
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MERRY CHEN MD
Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
AMEENA BAGREE MALHOTRA M.D.
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Harris County (713) 792-6161
SOLANGE ERLYN COX MD
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-2360
DR. BRYAN KEITH GUILLORY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
JANUARY Y TSAI MD
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
DR. SUNYOUNG LEE MD
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MRS. RACHEL KRAMER FUTRELL PA-C
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MEGAN J TANNER NP-C
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jace Landry's NPI number?

The NPI number for Jace Landry is 1063807550. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Jace Landry located?

Jace Landry practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Jace Landry's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Jace Landry enrolled in Medicare?

Yes. Jace Landry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jace Landry affiliated with any hospitals?

According to CMS data, Jace Landry is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Jace Landry was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.