HAYDEN O JACK M.D.
NPI 1093795338
Radiology - Diagnostic Radiology in Fort Worth, TX

Q: What is Hayden Jack's NPI number?

The NPI number for Hayden Jack is 1093795338. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Hayden Jack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Hayden Jack was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2006PECOS Enrolled

93.65/100

CMS Quality Rating

815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0387(469) 522-6889 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hayden O Jack M.d. NPPES

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

HAYDEN O JACK M.D. (NPI 1093795338) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (M8054) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Howard University College Of Medicine (1995).

NPPES Registry Identity

NPI1093795338

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameHAYDEN O JACKCredential: M.D.

Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2224

Mailing Address816 W Cannon StFort Worth, TX 76104-3146 · (817) 321-0404

Phone(817) 321-0387

Fax(469) 522-6889

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1995

Enumeration DateJanuary 20, 2006

Last NPPES UpdateApril 28, 2017

✔ NPI 1093795338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in TX · M8054✔ Licensed in FL · ME 113022✔ Licensed in VA · 0101054381

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

815 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Other Identifiers 6

Medicare PINTXB120692TX

Medicaid121715008TX

Medicaid285250101TX

Medicare PIN00J062TX

Medicare PINTXB120694TX

Medicaid121715004TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hayden O Jack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951487982

PECOS Enrollment IDI20080331000391

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 7

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

115 services106 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

20 services20 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

20 services16 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

20 services17 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

19 services17 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

93.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.53

Improvement Activities

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

100%63 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

KELLY C STARKEY M.D.

Radiology (Diagnostic Radiology)