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DR. JACK W ROSTAS III M.D.
NPI 1902063282
Surgery - Surgical Oncology in Lubbock, TX

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
4101 22ND PL, LUBBOCK, TX 79410(806) 799-7928(806) 788-8560 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Jul 10, 2023, Mar 9, 2022 and 6 more (9 updates tracked since 2017).

About Dr. Jack W Rostas Iii M.d. NPPES

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

DR. JACK W ROSTAS III M.D. (NPI 1902063282) is an individual surgical oncology provider in Lubbock, Texas, licensed in Texas (T5200) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902063282
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JACK W ROSTAS IIICredential: M.D.
Location Address4101 22ND PLLubbock, TX 79410-1121
Mailing Address3509 22nd StLubbock, TX 79410-1307 · (806) 799-7928 · Fax (806) 788-8560
Phone(806) 799-7928
Fax(806) 788-8560
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2008
Enumeration DateMay 22, 2008
Last NPPES UpdateAugust 17, 20239 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1902063282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses✔ Licensed in TX · T5200✔ Licensed in IL · 036143962
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.
4101 22ND PL, Lubbock, TX 79410
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Secondary Practice Locations 2

Location 13611 22nd PlLubbock, TX 79410-1317 · Phone (806) 771-2222 · Fax (806) 771-2224
Location 23509 22nd StLubbock, TX 79410-1307 · Phone (806) 799-7928 · Fax (806) 788-8560

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Jack W Rostas 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 ID9931365863
PECOS Enrollment IDI20220216000534
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 5

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 a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 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.
16 services16 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.
16 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453306
Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims16 services$36.49 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier16 claims189 services$1.55 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.

IBRAHIM ADLY SHALABY MD
Internal Medicine (Medical Oncology)
4101 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-8000
STACY LYNN HUGHES FNP-C
Nurse Practitioner (Family)
4101 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-8000
DAVID KIRK JENKINS MD
Radiology (Radiation Oncology)
4101 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-8000
RODOLFO E. MARTINEZ M.D.
Internal Medicine (Medical Oncology)
4101 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-8000
JEHANZEB RIAZ MD
Internal Medicine (Hematology & Oncology)
4101 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-1801
JACOB BEATY MSN FNP-C
Nurse Practitioner (Family)
4101 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-8000
TIFFANY HALE FNP
Nurse Practitioner (Family)
4101 22ND PL, 204
LUBBOCK, TX 79410
Lubbock County (806) 725-8000
AMY KATHERINE RIVAS MSN, RN, FNP-BC
Nurse Practitioner (Family)
4101 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 725-8000

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 Rostas's NPI number?

The NPI number for Jack Rostas is 1902063282. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Jack Rostas located?

Jack Rostas practices at 4101 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 799-7928.

What is Jack Rostas's specialty?

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

Is Jack Rostas enrolled in Medicare?

Yes. Jack Rostas 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 Jack Rostas 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 3 other insurers list Jack Rostas 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 Rostas affiliated with any hospitals?

According to CMS data, Jack Rostas is affiliated with Providence Portland Medical Center, Covenant Medical Center and Covenant Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Jack Rostas was last updated on August 17, 2023. 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.