Kenneth M. Jastrow III, M.D
NPI 1740556448ActiveIndividual· Surgery· San Angelo, TX
Surgery (M.D) with Shannon Clinic, practicing in San Angelo, Texas. 244 Medicare patients in 2024, $160,031 paid; nearly all of their 342 Part D prescriptions were generic (93%). Ethicon US, LLC reported $147.24 in payments in 2025, mostly food and beverage. Lists Lillian M Hudspeth Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1740556448 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Mar 27, 2012 |
| Last updated in NPPES | Apr 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | P4968 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 244 |
|---|---|
| Services billed | 513 across 123 procedure codes |
| Paid by Medicare | $160,031 |
Part D prescriptions in 2024
| Prescriptions (claims) | 342 · 343 30-day fills |
|---|---|
| Patients | 190 |
| Total drug cost | $5,442 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Shannon ClinicSan Angelo, TX · 559 clinicians
Hospital affiliations
- Lillian M Hudspeth Memorial HospitalSonora, TX
- Shannon Medical CenterSan Angelo, TX
Other facilities
- Shannon Home Health ServicesHome health agency · San Angelo, TX
Industry payments (Open Payments)
- 2025$147.24 · 2 payments from 1 company
- 2024$106.13 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $147.24 | 2 |
What the 2025 payments were for
- Food and Beverage$147.24 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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