JASON POLLACK M.D.
NPI 1831200260
Obstetrics & Gynecology in Phoenix, AZ

Q: What is Jason Pollack's NPI number?

The NPI number for Jason Pollack is 1831200260. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Jason Pollack's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Pollack was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1511(602) 263-1637 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jason Pollack M.d. NPPES

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

JASON POLLACK M.D. (NPI 1831200260) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Colorado (40077) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1998).

NPPES Registry Identity

NPI1831200260

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJASON POLLACKCredential: M.D.

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1511 · Fax (602) 263-1637

Phone(602) 263-1511

Fax(602) 263-1637

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1998

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1831200260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CO · 40077

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4212 N 16TH ST, Phoenix, AZ 85016

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Other Identifiers 5

Medicare OSCAR/certification030078AZ

Medicare ID-Type Unspecified8HAQ32AZ · Part B

Medicare UPINH66476AZ

OtherAZ0746310AZ · Bcbs

Medicaid708620AZ

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

Jason Pollack 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 ID9032196563

PECOS Enrollment IDI20040702000224

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)