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DAVID JACKS M.D.
NPI 1093735110
Urology in Pine Bluff, AR

Active since July 20, 2006PECOS Enrolled
84.85/100
CMS Quality Rating
4303 S MULBERRY ST, PINE BLUFF, AR 71603(870) 535-4221(870) 535-4228 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Jacks M.d. NPPES

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

DAVID JACKS M.D. (NPI 1093735110) is an individual urology provider in Pine Bluff, Arkansas, licensed in Arkansas (C5066) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093735110
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID JACKSCredential: M.D.
Location Address4303 S MULBERRY STPine Bluff, AR 71603-7017
Mailing Address4303 S Mulberry StPine Bluff, AR 71603-7017 · (870) 535-4221 · Fax (870) 535-4228
Phone(870) 535-4221
Fax(870) 535-4228
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1093735110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in AR · C5066
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4303 S MULBERRY ST, Pine Bluff, AR 71603
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Other Identifiers 1

Medicaid10493001AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Jacks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.41
Promoting Interoperability100
Improvement Activities40
Cost59.54

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID C JACKS MD PA
Specialist
4303 S MULBERRY ST
PINE BLUFF, AR 71603
Jefferson County (870) 535-4221
DR. MARK ANTHONY G RAMIRO M.D.
Family Medicine
4303 S MULBERRY ST
PINE BLUFF, AR 71603
Jefferson County (870) 247-9499

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 David Jacks's NPI number?

The NPI number for David Jacks is 1093735110. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is David Jacks located?

David Jacks practices at 4303 S Mulberry St, Pine Bluff, AR 71603. The listed phone number is (870) 535-4221.

What is David Jacks's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Jacks enrolled in Medicare?

Yes. David Jacks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Jacks was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.