KENNETH M JASTROW III M.D
NPI 1740556448
Surgery in San Angelo, TX

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
102 N MAGDALEN ST, SAN ANGELO, TX 76903(325) 658-1511(325) 481-2165 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth M Jastrow Iii M.d NPPES

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

KENNETH M JASTROW III M.D (NPI 1740556448) is an individual surgery provider in San Angelo, Texas, licensed in Texas (P4968) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1740556448
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKENNETH M JASTROW IIICredential: M.D
Location Address102 N MAGDALEN STSan Angelo, TX 76903-5400
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2165
Fax(325) 481-2165
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 27, 2012
Last NPPES UpdateApril 23, 2018
NPI 1740556448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · P4968
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
102 N MAGDALEN ST, San Angelo, TX 76903

Other Identifiers 2

Other8DN791TX · Bcbs
OtherTXB154908TX · Medicare Ptan

Accepted Insurance

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

Kenneth M Jastrow Iii M.d 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 ID4587829775
PECOS Enrollment IDI20120714000037
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.

Areas of Expertise CMS Part B claims 10

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services46 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
25 services25 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
22 services22 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Lillian M Hudspeth Memorial Hospital

Critical Access Hospitals · Sonora, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451324
Location308 HudspethSonora, TX 76950 · Sutton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
3 suppliers15 claims600 services$3.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Neurological Surgery
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Psychiatry & Neurology (Neurology)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Thoracic Surgery (Cardiothoracic Vascular Surgery)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Radiology (Radiation Oncology)
102 N MAGDALEN ST, SUITE 120
SAN ANGELO, TX 76903
Internal Medicine (Cardiovascular Disease)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Nurse Practitioner
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Nurse Practitioner (Family)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Internal Medicine (Cardiovascular Disease)
102 N MAGDALEN ST
SAN ANGELO, TX 76903

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 Kenneth Jastrow's NPI number?

The NPI number for Kenneth Jastrow is 1740556448. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Kenneth Jastrow located?

Kenneth Jastrow practices at 102 N Magdalen St, San Angelo, TX 76903. The listed phone number is (325) 658-1511.

What is Kenneth Jastrow's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kenneth Jastrow enrolled in Medicare?

Yes. Kenneth Jastrow 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.

What insurance does Kenneth Jastrow accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kenneth Jastrow 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 Kenneth Jastrow affiliated with any hospitals?

According to CMS data, Kenneth Jastrow is affiliated with Shannon Medical Center and Lillian M Hudspeth Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Jastrow was last updated on April 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.