JASON D. ROOS D.O.
NPI 1205147659
Otolaryngology - Facial Plastic Surgery in Visalia, CA

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
805 W ACEQUIA AVE STE 1B, VISALIA, CA 93291(559) 409-4720(559) 409-4713 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jason D. Roos D.o. NPPES

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

JASON D. ROOS D.O. (NPI 1205147659) is an individual facial plastic surgery provider in Visalia, California, licensed in California (20A18178) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Clemente, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2010).

NPPES Registry Identity

NPI1205147659
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameJASON D. ROOSCredential: D.O.
Location Address805 W ACEQUIA AVE STE 1BVisalia, CA 93291-6163
Mailing Address805 W Acequia Ave Ste 1bVisalia, CA 93291-6163 · (559) 409-4720 · Fax (559) 409-4713
Fax(559) 409-4713
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1205147659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses✔ Licensed in CA · 20A18178✔ Licensed in WA · OP60519665✔ Licensed in MI · 5101018567
Definition
An otolaryngologist who specializes in facial plastic surgery.
805 W ACEQUIA AVE STE 1B, Visalia, CA 93291

Secondary Practice Location 1

Location 13553 Camino Mira Costa Ste ASan Clemente, CA 92672-3512 · Phone (559) 409-4720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason D. Roos D.o. 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 ID2365608189
PECOS Enrollment IDI20200507001336
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jason Roos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
107 N HALL ST, SUITE #B
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
Otolaryngology/Facial Plastic Surgery
1700 W WALNUT AVE STE A
Visalia, CA 93277
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,872 services56 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
1,682 services69 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
545 services22 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
527 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
185 services145 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
118 services109 patients

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
805 W ACEQUIA AVE STE 1B
VISALIA, CA 93291
Audiologist
805 W ACEQUIA AVE STE 1B
VISALIA, CA 93291
Physician Assistant
805 W ACEQUIA AVE STE 1B
VISALIA, CA 93291

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 Jason Roos's NPI number?

The NPI number for Jason Roos is 1205147659. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Jason Roos located?

Jason Roos practices at 805 W Acequia Ave Ste 1B, Visalia, CA 93291. The listed phone number is (559) 409-4720.

What is Jason Roos's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Jason Roos enrolled in Medicare?

Yes. Jason Roos 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.

Which organizations bill Medicare for Jason Roos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Roos reassigns Medicare benefits to 3 organizations: Adventist Health Physicians Network (Visalia, CA), Jason Roos Do A Professional Medical Corporation (Visalia, CA) and Reedley Community Hospital (Reedley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Roos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Roos was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.