Active NPI 1295733285 Individual Practitioner Male Practitioner

Dr. Jack Edward Jensen , MD

Orthopaedic Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Jensen, MD is a certified Orthopaedic Surgery practicing in Houston, TX. With approximately 50 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1976, Dr. Jensen delivers high-quality medical care to the local community at 9180 KATY FWY SUITE 200.

Dr. Jensen is affiliated with Athletic Orthopedic And Knee Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9180 Katy Fwy Suite 200

Houston, TX 770557454

Telephone 7139841400

Fax 7139840544

Associated Practice Facility / Clinic

🏢 Athletic Orthopedic & Knee Center Facility NPI 1154346971

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +25.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

214 Specialists

Practicing in Houston, TX (1627 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jensen (50 Years) 50 Yrs

Houston Specialty Average (24.1 Years) 24.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	40,495	69	$5.01	$0.54
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,915	167	$70.00	$22.67
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,949	154	$65.38	$30.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	541	245	$250.00	$128.80
97140 Therapy procedure using manual technique, each 15 minutes	396	103	$50.00	$20.76
97016 Application of blood vessel compression device	259	102	$45.00	$9.05
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	246	95	$416.69	$111.78
73562 X-ray of knee, 3 views	179	131	$129.27	$40.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg	132	32	$20.00	$0.11
97162 Evaluation for physical therapy, typically 30 minutes	129	111	$335.00	$99.67
93923 Complete ultrasound study of arm and leg arteries	105	103	$250.00	$129.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$350.00	$168.74
95923 Testing of autonomic (sympathetic) nervous system function	95	95	$250.00	$120.85
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	95	95	$200.00	$87.04
97164 Re-evaluation for physical therapy, typically 20 minutes	80	59	$265.00	$69.24
73630 X-ray of foot, minimum of 3 views	54	34	$117.78	$30.50
97161 Evaluation of physical therapy, typically 20 minutes	51	48	$335.00	$99.70
73030 X-ray of shoulder, minimum of 2 views	44	38	$155.00	$34.72
72100 X-ray of lower and sacral spine, 2-3 views	43	42	$145.00	$39.71
97035 Application of ultrasound, each 15 minutes	32	12	$45.00	$10.79
73610 X-ray of ankle, minimum of 3 views	27	18	$115.56	$32.07
73070 X-ray of elbow, 2 views	27	16	$115.00	$28.38
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	23	18	$40.00	$9.02
97530 Therapy procedure using functional activities	22	13	$87.00	$33.84
73502 X-ray of hip, 2-3 views	19	18	$125.00	$47.24
29879 Repair of knee joint using an endoscope	16	16	$4490.00	$633.47
72040 X-ray of upper spine, 2-3 views	15	15	$160.00	$39.27
29880 Removal of both knee cartilages using an endoscope	13	13	$1730.00	$298.63
29873 Release of ligaments at outer aspect of knee joint using an endoscope	13	13	$1200.00	$159.14
29881 Removal of knee cartilage using an endoscope	12	12	$1400.00	$312.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,599	177	$70.00	$22.87
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,023	153	$65.00	$30.36
97140 Therapy procedure using manual technique, each 15 minutes	611	131	$50.00	$21.17
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	341	11	$40.47	$21.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	203	$220.15	$129.09
73562 X-ray of knee, 3 views	135	113	$130.00	$41.52
93923 Complete ultrasound study of arm and leg arteries	129	129	$250.00	$130.59
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	121	121	$200.00	$89.06
95923 Testing of autonomic (sympathetic) nervous system function	121	121	$250.00	$125.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$322.67	$168.27
97162 Evaluation for physical therapy, typically 30 minutes	104	100	$335.00	$102.27
97164 Re-evaluation for physical therapy, typically 20 minutes	82	68	$265.00	$69.08
97161 Evaluation of physical therapy, typically 20 minutes	70	63	$335.00	$100.98
73630 X-ray of foot, minimum of 3 views	56	25	$109.29	$29.35
97016 Application of blood vessel compression device	38	28	$45.00	$9.24
73610 X-ray of ankle, minimum of 3 views	35	18	$102.86	$32.13
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$145.00	$40.80
73030 X-ray of shoulder, minimum of 2 views	32	28	$155.00	$35.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg	32	12	$6.34	$0.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	29	24	$415.00	$111.26
29881 Removal of knee cartilage using an endoscope	14	13	$1400.00	$358.04
73130 X-ray of hand, minimum of 3 views	13	12	$115.00	$37.74
29880 Removal of both knee cartilages using an endoscope	12	12	$1500.00	$337.03
29879 Repair of knee joint using an endoscope	11	11	$4490.00	$685.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,135	128	$69.84	$23.75
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,416	116	$64.86	$32.24
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	480	13	$30.00	$17.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	206	$155.00	$131.88
97140 Therapy procedure using manual technique, each 15 minutes	270	68	$50.00	$21.91
73562 X-ray of knee, 3 views	148	118	$130.00	$42.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	142	41	$7.00	$0.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	117	$275.00	$172.08
95923 Testing of autonomic (sympathetic) nervous system function	107	97	$250.00	$132.29
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	107	97	$200.00	$93.11
97161 Evaluation of physical therapy, typically 20 minutes	106	99	$335.00	$104.30
93922 Ultrasound study of arm and leg arteries	100	89	$200.00	$86.35
97530 Therapy procedure using functional activities	94	48	$87.00	$33.04
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	68	63	$415.00	$108.92
97035 Application of ultrasound, each 15 minutes	34	15	$45.00	$11.22
73630 X-ray of foot, minimum of 3 views	33	25	$120.00	$32.40
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$105.00	$93.97
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$145.00	$39.88
97016 Application of blood vessel compression device	29	17	$45.00	$9.48
97164 Re-evaluation for physical therapy, typically 20 minutes	26	22	$265.00	$71.63
73030 X-ray of shoulder, minimum of 2 views	26	23	$155.00	$36.30
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	25	18	$250.00	$131.32
97162 Evaluation for physical therapy, typically 30 minutes	25	25	$335.00	$100.77
73610 X-ray of ankle, minimum of 3 views	24	20	$120.00	$36.85
73502 X-ray of hip, 2-3 views	19	16	$125.00	$47.30
29881 Removal of knee cartilage using an endoscope	16	16	$1400.00	$148.24
29879 Repair of knee joint using an endoscope	16	16	$4490.00	$687.36
29873 Release of ligaments at outer aspect of knee joint using an endoscope	12	12	$1200.00	$136.46
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	12	12	$1600.00	$429.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,689	127	$70.04	$24.31
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,299	125	$65.00	$32.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	164	$155.00	$134.12
97140 Therapy procedure using manual technique, each 15 minutes	225	61	$50.00	$22.39
73562 X-ray of knee, 3 views	136	116	$130.00	$42.30
97161 Evaluation of physical therapy, typically 20 minutes	114	111	$335.00	$103.92
93922 Ultrasound study of arm and leg arteries	95	91	$200.00	$89.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$275.00	$174.09
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	92	88	$200.00	$93.58
95923 Testing of autonomic (sympathetic) nervous system function	92	88	$250.00	$137.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	18	$10.00	$1.30
99213 Established patient office or other outpatient visit, typically 15 minutes	82	75	$105.00	$94.83
73630 X-ray of foot, minimum of 3 views	51	27	$117.65	$35.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg	44	12	$7.00	$0.13
97164 Re-evaluation for physical therapy, typically 20 minutes	39	36	$265.00	$71.73
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	37	34	$415.00	$103.56
73030 X-ray of shoulder, minimum of 2 views	29	26	$155.00	$35.83
72100 X-ray of lower and sacral spine, 2-3 views	26	25	$145.00	$41.58
73610 X-ray of ankle, minimum of 3 views	23	15	$120.00	$37.57
73502 X-ray of hip, 2-3 views	16	15	$125.00	$48.76
29879 Repair of knee joint using an endoscope	15	15	$4490.00	$666.47
29880 Removal of both knee cartilages using an endoscope	13	13	$1500.00	$361.21
97162 Evaluation for physical therapy, typically 30 minutes	12	12	$335.00	$104.78
29873 Release of ligaments at outer aspect of knee joint using an endoscope	12	11	$1200.00	$136.36
29881 Removal of knee cartilage using an endoscope	12	11	$1400.00	$143.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,430	112	$69.65	$24.72
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,041	107	$64.41	$33.68
97140 Therapy procedure using manual technique, each 15 minutes	494	97	$49.92	$22.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	353	207	$155.00	$112.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	291	57	$10.00	$1.48
73562 X-ray of knee, 3 views	106	81	$130.00	$40.27
93922 Ultrasound study of arm and leg arteries	105	96	$200.00	$88.13
95923 Testing of autonomic (sympathetic) nervous system function	100	92	$250.00	$133.64
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	100	92	$200.00	$89.35
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	98	67	$419.23	$97.45
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	90	25	$250.00	$142.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$275.00	$169.44
97161 Evaluation of physical therapy, typically 20 minutes	49	49	$335.00	$89.14
97162 Evaluation for physical therapy, typically 30 minutes	43	40	$335.00	$89.09
73030 X-ray of shoulder, minimum of 2 views	33	30	$155.00	$34.02
97164 Re-evaluation for physical therapy, typically 20 minutes	32	27	$265.00	$61.21
72100 X-ray of lower and sacral spine, 2-3 views	28	27	$145.00	$39.11
73630 X-ray of foot, minimum of 3 views	28	20	$120.00	$33.75
73502 X-ray of hip, 2-3 views	14	14	$125.00	$46.58
73130 X-ray of hand, minimum of 3 views	14	12	$115.00	$35.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	4,154	157	$70.00	$25.40
97140 Therapy procedure using manual technique, each 15 minutes	667	122	$50.00	$22.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	576	293	$155.00	$110.07
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	508	105	$65.00	$34.43
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	388	98	$250.00	$141.16
20610 Aspiration and/or injection of fluid from large joint	357	115	$316.76	$61.10
73562 X-ray of knee, 3 views	224	170	$128.84	$37.36
93922 Ultrasound study of arm and leg arteries	175	160	$200.00	$87.70
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	168	156	$200.00	$84.99
95923 Testing of autonomic (sympathetic) nervous system function	168	156	$250.00	$130.83
97161 Evaluation of physical therapy, typically 20 minutes	147	124	$335.00	$86.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$275.00	$166.57
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	82	55	$415.00	$92.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg	68	54	$7.00	$0.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	61	30	$10.00	$1.56
99213 Established patient office or other outpatient visit, typically 15 minutes	58	48	$105.00	$75.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$195.00	$109.79
97164 Re-evaluation for physical therapy, typically 20 minutes	47	39	$265.00	$58.69
72100 X-ray of lower and sacral spine, 2-3 views	46	44	$145.00	$35.36
73030 X-ray of shoulder, minimum of 2 views	46	40	$155.00	$29.17
73630 X-ray of foot, minimum of 3 views	44	27	$120.00	$31.11
73130 X-ray of hand, minimum of 3 views	31	22	$115.00	$32.99
73721 Mri scan of leg joint without contrast	27	25	$650.00	$69.44
73610 X-ray of ankle, minimum of 3 views	18	15	$120.00	$32.41
73560 X-ray of knee, 1-2 views	18	16	$110.00	$32.67
97016 Application of blood vessel compression device	15	15	$45.00	$9.90
97162 Evaluation for physical therapy, typically 30 minutes	15	15	$335.00	$86.47
73502 X-ray of hip, 2-3 views	15	14	$125.00	$41.33
29880 Removal of both knee cartilages using an endoscope	15	15	$1500.00	$353.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$85.00	$45.64
72040 X-ray of upper spine, 2-3 views	11	11	$160.00	$37.05
73522 X-ray of both hips, 3-4 views	11	11	$165.00	$47.52
73590 X-ray of lower leg, 2 views	11	11	$120.00	$27.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,877	130	$70.00	$24.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	220	$155.00	$105.49
20610 Aspiration and/or injection of fluid from large joint	393	116	$319.01	$59.44
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	388	105	$65.00	$33.80
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	305	74	$250.00	$144.88
97140 Therapy procedure using manual technique, each 15 minutes	277	69	$50.00	$21.51
73562 X-ray of knee, 3 views	182	138	$130.00	$34.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	139	$275.00	$162.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg	101	80	$6.97	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	86	72	$105.00	$71.86
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	84	80	$200.00	$82.59
95923 Testing of autonomic (sympathetic) nervous system function	84	80	$250.00	$128.41
93922 Ultrasound study of arm and leg arteries	83	80	$200.00	$87.31
97161 Evaluation of physical therapy, typically 20 minutes	49	47	$296.43	$81.79
72100 X-ray of lower and sacral spine, 2-3 views	42	42	$145.00	$33.92
73030 X-ray of shoulder, minimum of 2 views	36	30	$155.00	$28.34
29880 Removal of both knee cartilages using an endoscope	29	28	$2487.10	$294.60
29879 Repair of knee joint using an endoscope	29	29	$4490.00	$629.72
73630 X-ray of foot, minimum of 3 views	22	15	$120.00	$28.91
97164 Re-evaluation for physical therapy, typically 20 minutes	22	20	$197.50	$56.12
73610 X-ray of ankle, minimum of 3 views	20	13	$120.00	$30.98
97016 Application of blood vessel compression device	19	17	$38.16	$11.15
73522 X-ray of both hips, 3-4 views	19	16	$165.00	$47.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$195.00	$106.29
73721 Mri scan of leg joint without contrast	13	13	$650.00	$67.62
73502 X-ray of hip, 2-3 views	12	12	$125.00	$38.23
29881 Removal of knee cartilage using an endoscope	11	11	$1400.00	$125.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,067	131	$70.00	$25.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	454	237	$155.00	$104.09
20610 Aspiration and/or injection of fluid from large joint	329	98	$334.15	$59.05
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	313	96	$65.00	$32.99
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	273	77	$250.00	$150.10
97140 Therapy procedure using manual technique, each 15 minutes	202	67	$50.00	$22.35
97016 Application of blood vessel compression device	193	60	$35.00	$12.76
73562 X-ray of knee, 3 views	163	132	$130.00	$34.18
97161 Evaluation of physical therapy, typically 20 minutes	118	104	$265.00	$78.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$275.00	$159.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg	72	58	$7.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	67	55	$105.00	$71.16
64450 Injection of anesthetic agent, other peripheral nerve or branch	35	35	$520.00	$23.05
97164 Re-evaluation for physical therapy, typically 20 minutes	35	33	$130.00	$52.70
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	33	33	$1600.00	$391.32
73564 X-ray of knee, 4 or more views	31	26	$150.00	$37.77
72100 X-ray of lower and sacral spine, 2-3 views	30	30	$145.00	$33.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$85.00	$41.89
73630 X-ray of foot, minimum of 3 views	26	16	$120.00	$28.27
73030 X-ray of shoulder, minimum of 2 views	26	23	$155.00	$27.51
29880 Removal of both knee cartilages using an endoscope	25	24	$1500.00	$181.91
29879 Repair of knee joint using an endoscope	24	24	$4490.00	$654.21
73610 X-ray of ankle, minimum of 3 views	20	13	$120.00	$30.74
73522 X-ray of both hips, 3-4 views	16	16	$165.00	$47.70
29881 Removal of knee cartilage using an endoscope	13	13	$1400.00	$159.72
97162 Evaluation for physical therapy, typically 30 minutes	11	11	$265.00	$79.52
72040 X-ray of upper spine, 2-3 views	11	11	$160.00	$32.10

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX F1071

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Identification Number

760281931 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

82376Z (TX)

Commercial Insurance / Payer ID Tx License Number

F1071 (TX)

Hospital & Practice Group Affiliations

Athletic Orthopedic And Knee Center

9180 Katy Fwy, Houston, TX 770557443

Phone: 7139841400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Anna Rac , PT

Physical Therapist

NPI 1003936287

Physical Therapist

Dr. Meredith Kennedy , PT, DPT

Physical Therapist - Orthopedic

NPI 1023480639

Physical Therapist, Doctor of Physical Therapy

Dr. Donald Baxter , MD

Orthopaedic Surgery

NPI 1235105123

Doctor of Medicine (M.D.)

Leah Palmer , LAT

Specialist

NPI 1306235155

Licensed Athletic Trainer

Brock Larson , PTA

Physical Therapy Assistant

NPI 1447410279

Physical Therapist Assistant

Dr. Eghtedarolah Sadeghpour , MD

Orthopaedic Surgery

NPI 1558356527

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2016

Registered at 9180 KATY FWY SUITE 200, HOUSTON, TX 770557454 (Tel: 7139841400)

📍

Updated Business Mailing Address July 14, 2016

Registered at 9180 KATY FREEWAY, STE 200, HOUSTON, TX 77055 (Tel: 7139841400)

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Provider Name / Credentials Updated July 14, 2016

Recorded as JACK JENSEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Orthopaedic Surgery (License #F1071 in TX)

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Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295733285

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2005

Last Update: July 14, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9180 Katy Freeway, Ste 200

Houston, TX 77055

Phone: 7139841400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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