Jason Travis Stack, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

ME135652 Issued in FL

Practice address

3955 Indian River Blvd Ste 100
Vero Beach, FL 32960-4800

Phone

(772) 569-2330

Fax

(772) 569-2632

NPI assigned

May 23, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

New York Medical College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vero Orthopaedics II PAGroup PAC ID 2567454051, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anchor Health Homecare Services, LLC Home health agency, Boca Raton, FL, CCN 687311
• Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
• Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
• Parx Home Health Care Home health agency, Port Saint Lucie, FL, CCN 108106
• Vitalcaring Group Home health agency, West Palm Beach, FL, CCN 108331
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Willowbrooke Court at Indian River Estates Nursing home, Vero Beach, FL, CCN 105593

Merit-based Incentive Payment System (MIPS)

Final score

85.95 of 100Reported as group

Quality

82.89

Promoting interoperability

98

Improvement activities

40

Cost

71.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.stack.p1@direct.veroortho.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vero Orthopaedics II PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Vero Beach, FL
  • NPI 1184626079

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Vero Orthopaedics II PA

  • Orthopaedic Surgery Physician
  • Sebastian, FL
  • NPI 1134441660
  NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541

  Orthopaedic Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acts Retirement-Life Communities Inc

  • Skilled Nursing Facility
  • Vero Beach, FL
  • NPI 1174563951

  Nursing home

  Care Compare affiliation
• Elite Home Health Group LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1578954335
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation
• Mihom Healthcare Inc.

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1730235276
  Care Compare affiliation
• Ohsrh, LLC

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation
• Pinnacle Home Care of the Palm Beaches, LLC.

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1285191825
  Care Compare affiliation
• Senior Care Solutions 9 LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1609507920
  Care Compare affiliation
• Staff Options, Corp

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1477603140
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1164869699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 INDIAN RIVER BLVD STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604800",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 INDIAN RIVER BLVD STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604800",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 S Orange Ave",
            "address_2": "5th Floor MP 43",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061215",
            "country_code": "US",
            "telephone_number": "321-841-1764",
            "fax_number": "321-843-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Wellness Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583783",
            "country_code": "US",
            "telephone_number": "772-509-2330",
            "fax_number": "772-569-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACK",
        "first_name": "JASON",
        "middle_name": "TRAVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2021-08-08",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME135652",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME135652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSK Ophthalmology LLC
• Patricia Alexandria St Mary Durling, LMT
• Aubrey Anna St Mary
• Benton A St. Cyr
• St. Mary and St. Anthony LLC
• Claire Staley
• Shannon Lekniskas Stalhut
• Joseph Stallings Jr.
• Esther Agata Stansu, LMHC
• Rebecca Starcher

• Adult Reconstructive Orthopaedic Surgery Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.