Active NPI 1740556448 Individual Practitioner Male Practitioner

Dr. Kenneth M Jastrow , MD

Surgery • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Jastrow, MD is a certified Surgery practicing in San Angelo, TX. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Jastrow delivers high-quality medical care to the local community at 102 N MAGDALEN ST.

Dr. Jastrow is affiliated with Shannon Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 N Magdalen St

San Angelo, TX 769035400

Telephone 3256581511

Fax 3254812165

Associated Practice Facility / Clinic

🏢 Regional Cancer Treatment Center Ltd Facility NPI 1801889431

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Angelo, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -7.3 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

12 Specialists

Practicing in San Angelo, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jastrow (14 Years) 14 Yrs

San Angelo Specialty Average (21.3 Years) 21.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$324.00	$168.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$249.00	$128.77
47562 Removal of gallbladder using an endoscope	25	25	$2780.53	$662.30
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$1006.00	$287.80
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	21	$54.00	$17.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$268.00	$132.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$218.00	$113.06
36415 Insertion of needle into vein for collection of blood sample	13	13	$8.00	$7.84
49505 Repair of groin hernia (5 years or older)	13	13	$1675.69	$535.06
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1010.00	$266.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$319.75	$154.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$215.04	$124.13
47562 Removal of gallbladder using an endoscope	23	23	$2782.92	$624.94
36415 Insertion of needle into vein for collection of blood sample	22	22	$8.00	$7.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$209.89	$108.59
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$54.00	$17.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$1006.00	$293.72
49505 Repair of groin hernia (5 years or older)	18	18	$1556.00	$505.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$268.00	$126.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$318.00	$157.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$207.00	$119.42
47562 Removal of gallbladder using an endoscope	41	41	$2753.00	$622.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$207.00	$107.48
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$140.00	$88.37
36415 Insertion of needle into vein for collection of blood sample	17	17	$8.00	$2.83
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	11	$1006.00	$320.27
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$5000.00	$834.14
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1094.17	$238.00
38792 Injection of radioactive material for x-ray identification of lymph node	11	11	$549.82	$16.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	74	$207.00	$122.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$318.00	$162.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$268.00	$130.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$207.00	$110.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	27	$141.00	$70.13
36415 Insertion of needle into vein for collection of blood sample	25	23	$8.00	$3.00
47562 Removal of gallbladder using an endoscope	20	20	$2753.00	$624.34
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$140.00	$89.76
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$5178.57	$700.24
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$3560.00	$1488.80
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$54.00	$18.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$318.00	$160.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	55	$207.00	$107.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$268.00	$135.12
99213 Established patient office or other outpatient visit, typically 15 minutes	38	38	$140.00	$73.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$207.00	$103.96
47562 Removal of gallbladder using an endoscope	34	34	$2753.00	$640.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	21	$141.00	$72.23
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$2502.25	$295.24
36415 Insertion of needle into vein for collection of blood sample	23	20	$8.00	$2.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	23	$54.00	$18.08
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$198.00	$101.25
46600 Diagnostic examination of the anus using an endoscope	13	12	$253.00	$94.89
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$5000.00	$883.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$318.00	$156.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	56	$268.00	$130.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$207.00	$104.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	50	$207.00	$104.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	29	$141.00	$71.43
47562 Removal of gallbladder using an endoscope	34	34	$2753.00	$616.48
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$140.00	$72.08
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$198.00	$99.35
36415 Insertion of needle into vein for collection of blood sample	22	19	$8.00	$2.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$54.00	$18.49
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$3400.00	$284.91
49505 Repair of groin hernia (5 years or older)	16	16	$1653.25	$498.21
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$5000.00	$1052.25
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1010.00	$241.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$318.00	$153.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	44	$141.00	$67.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	65	$268.00	$130.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$207.00	$101.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$207.00	$102.48
99221 Initial hospital inpatient care per day, typically 30 minutes	47	47	$198.00	$98.66
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$140.00	$70.40
47562 Removal of gallbladder using an endoscope	36	36	$2753.00	$634.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	34	34	$3400.00	$308.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	34	34	$54.00	$18.29
36415 Insertion of needle into vein for collection of blood sample	31	30	$8.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	17	16	$67.00	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$34.00	$9.40
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$5000.00	$1070.95
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	12	$1165.38	$302.94
49505 Repair of groin hernia (5 years or older)	13	13	$1556.00	$464.73
81001 Manual urinalysis test with examination using microscope, automated	12	12	$24.00	$3.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$139.40	$100.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	66	$160.21	$131.61
99213 Established patient office or other outpatient visit, typically 15 minutes	60	55	$93.90	$69.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$48.35	$39.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$180.23	$154.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	23	$44.92	$38.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$129.31	$98.27
47562 Removal of gallbladder using an endoscope	40	40	$1127.64	$615.22
36415 Insertion of needle into vein for collection of blood sample	27	19	$4.67	$2.94
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	27	$1917.98	$296.42
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	25	$31.50	$18.54
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1221.39	$695.40
80053 Blood test, comprehensive group of blood chemicals	12	12	$31.99	$13.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX P4968

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

TXB154908 (TX)

Commercial Insurance / Payer ID Bcbs

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

40 Associated Practitioners

Maegin Carlile , FNP

Nurse Practitioner

NPI 1003168055

Family Nurse Practitioner

Dr. Irvin Zeitler , DO

Family Medicine

NPI 1003856451

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Greeson , MD

Dermatology

NPI 1003919994

Doctor of Medicine (M.D.)

Dr. Robert Carsner , MD

Internal Medicine

NPI 1013901032

Doctor of Medicine (M.D.)

Dr. Scott Westmoreland , DPM

Podiatrist

NPI 1023095783

Doctor of Podiatric Medicine

Dr. Leslie Hutchins , MD

Neurological Surgery

NPI 1023278660

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 February 26, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2013

Registered at 102 N MAGDALEN ST, SAN ANGELO, TX 769035400 (Tel: 3256581511)

📍

Updated Business Mailing Address February 26, 2013

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

👤

Provider Name / Credentials Updated February 26, 2013

Recorded as KENNETH JASTROW, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2013

Surgery (License #P4968 in TX)

🟢

Initial NPI Registration & Enumeration March 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740556448

Entity Type:

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

Enumeration Date: March 27, 2012

Last Update: April 23, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.