JACK LEE NETTLETON M.D.
NPI 1174523575
Radiology - Radiation Oncology in Flint, MI

Active since July 28, 2005PECOS Enrolled
4100 BEECHER RD, SUITE A, FLINT, MI 48532(810) 342-3800(810) 342-3784 Get Directions Write a Review

NPPES record last updated: October 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Lee Nettleton M.d. NPPES

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

JACK LEE NETTLETON M.D. (NPI 1174523575) is an individual radiation oncology provider in Flint, Michigan, licensed in Michigan (JN047780) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174523575
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJACK LEE NETTLETONCredential: M.D.
Location Address4100 BEECHER RD, SUITE AFlint, MI 48532-3661
Mailing AddressPo Box 1236Grand Blanc, MI 48480-3236 · (810) 342-3800 · Fax (810) 342-3784
Fax(810) 342-3784
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateOctober 6, 2009
NPI 1174523575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in MI · JN047780
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4100 BEECHER RD, Flint, MI 48532

Other Identifiers 3

Medicare UPIND42501
Medicare UPINOM87280002
Medicare ID-Type Unspecified4128490MI

Accepted 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)

Jack Lee Nettleton 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48532 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
31%156 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
19%89 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%304 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
4%926 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
92%345 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%492 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
80%54 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 345 patients
0%345 patients5/55-star benchmark: 100%
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 8

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

Radiology (Radiation Oncology)
4100 BEECHER RD, SUITE A
FLINT, MI 48532
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Physician Assistant (Medical)
4100 BEECHER RD, SUITE A
FLINT, MI 48532
Surgery
4100 BEECHER RD
FLINT, MI 48532
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Internal Medicine (Hematology & Oncology)
4100 BEECHER RD, STE B
FLINT, MI 48532
Radiology (Radiation Oncology)
4100 BEECHER RD, SUITE A
FLINT, MI 48532

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 Jack Nettleton's NPI number?

The NPI number for Jack Nettleton is 1174523575. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Jack Nettleton located?

Jack Nettleton practices at 4100 Beecher Rd Suite A, Flint, MI 48532. The listed phone number is (810) 342-3800.

What is Jack Nettleton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Jack Nettleton enrolled in Medicare?

Yes. Jack Nettleton is registered in the Medicare PECOS enrollment system.

What insurance does Jack Nettleton accept?

Health plans from Priority Health list Jack Nettleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Nettleton was last updated on October 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.