DR. SAMUEL E DAGOGO-JACK MD
NPI 1194782235
Internal Medicine - Endocrinology, Diabetes & Metabolism in Memphis, TN

Q: What is Samuel Dagogo-jack's NPI number?

The NPI number for Samuel Dagogo-jack is 1194782235. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Samuel Dagogo-jack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

75.06/100

CMS Quality Rating

880 MADISON AVE, MEMPHIS, TN 38103(901) 545-7275(901) 545-6454 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Samuel E Dagogo-jack Md NPPES

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

DR. SAMUEL E DAGOGO-JACK MD (NPI 1194782235) is an individual endocrinology, diabetes & metabolism provider in Memphis, Tennessee, licensed in Tennessee (35658) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1194782235

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SAMUEL E DAGOGO-JACKCredential: MD

Location Address880 MADISON AVEMemphis, TN 38103-3409

Mailing Address9636 Mourning Dove CvMemphis, TN 38139-5668 · (901) 219-1728

Phone(901) 545-7275

Fax(901) 545-6454

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateMay 1, 2006

Last NPPES UpdateSeptember 15, 2021

NPPES CertifiedSeptember 15, 2021

✔ NPI 1194782235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TN · 35658

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

880 MADISON AVE, Memphis, TN 38103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel E Dagogo-jack Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446384291

PECOS Enrollment IDI20100816000104

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 38103 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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.

75.06/100

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

Scored as part of a group practice

Quality

56.46

Improvement Activities

Cost

71.87

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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.

MICHELLE L RUSH MSN, APRN, BC

Nurse Practitioner (Family)