DR. JACK ROH OAK MD
NPI 1326269648
Surgery - Vascular Surgery in Bridgeton, MO

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
12266 DE PAUL DR STE 305, BRIDGETON, MO 63044(314) 770-0991 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2023, Nov 23, 2022 (2 updates tracked since 2022).

About Dr. Jack Roh Oak Md NPPES

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

DR. JACK ROH OAK MD (NPI 1326269648) is an individual vascular surgery provider in Bridgeton, Missouri, licensed in Missouri (2003009197) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1326269648
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. JACK ROH OAKCredential: MD
Location Address12266 DE PAUL DR STE 305Bridgeton, MO 63044-2514
Mailing Address660 S Euclid Ave, Msc 8109-05-04Saint Louis, MO 63110-1010 · (314) 991-4644 · Fax (314) 991-4910
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2001
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1326269648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MO · 2003009197
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
12266 DE PAUL DR STE 305, Bridgeton, MO 63044

Secondary Practice Location 1

Location 1555 N New Ballas Rd, Div Surg Vascular, Ste 265Saint Louis, MO 63141-6825 · Phone (314) 991-4644 · Fax (314) 991-4910

Other Identifiers 1

Medicaid209363209MO

Accepted Insurance

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

Dr. Jack Roh Oak 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 ID2062477573
PECOS Enrollment IDI20041124000066
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

2

Medicare enrollment records show Jack Oak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
Pediatrics
885 TIGER BLVD
Clemson, SC 29631
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1588685333 (South Carolina)
  • 381 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.

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.
71 services62 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
62 services57 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
40 services39 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
35 services35 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.
35 services29 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
33 services33 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 12

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

Surgery (Vascular Surgery)
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044
Surgery
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044
Radiology (Vascular & Interventional Radiology)
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044
Surgery
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044
Internal Medicine (Nephrology)
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044
Physician Assistant
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044
Nurse Practitioner (Adult Health)
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044
Nurse Practitioner (Family)
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044

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 Jack Oak's NPI number?

The NPI number for Jack Oak is 1326269648. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Jack Oak located?

Jack Oak practices at 12266 De Paul Dr Ste 305, Bridgeton, MO 63044. The listed phone number is (314) 770-0991.

What is Jack Oak's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Jack Oak enrolled in Medicare?

Yes. Jack Oak 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 Jack Oak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Oak reassigns Medicare benefits to 2 organizations: Ssm Medical Group, Inc. (Fenton, MO) and Anmed Health (Clemson, SC). 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 Jack Oak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Oak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Jack Oak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Oak affiliated with any hospitals?

According to CMS data, Jack Oak is affiliated with Ssm St Joseph Health Center, Barnes Jewish Hospital, Ssm Health Depaul Hospital St Louis and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Jack Oak was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.