DR. JACK LOVELL COLLINS M.D.
NPI 1245290865
Family Medicine in Modesto, CA

Active since March 27, 2006PECOS Enrolled
1320 CELESTE DR, MODESTO, CA 95355(209) 527-6900(209) 524-7328 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Lovell Collins M.d. NPPES

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

DR. JACK LOVELL COLLINS M.D. (NPI 1245290865) is an individual family medicine provider in Modesto, California, licensed in California (G33014) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1974).

NPPES Registry Identity

NPI1245290865
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK LOVELL COLLINSCredential: M.D.
Location Address1320 CELESTE DRModesto, CA 95355-2402
Mailing Address1320 Celeste DrModesto, CA 95355-2402 · (209) 527-6900 · Fax (209) 524-7328
Fax(209) 524-7328
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1974
Enumeration DateMarch 27, 2006
Last NPPES UpdateMarch 11, 2016
NPI 1245290865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G33014
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1320 CELESTE DR, Modesto, CA 95355

Other Identifiers 1

Medicare UPINA89540CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jack Lovell Collins M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264580927
PECOS Enrollment IDI20090507000074
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 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$192.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Health Service)
1320 CELESTE DR
MODESTO, CA 95355
Family Medicine
1320 CELESTE DR
MODESTO, CA 95355
Family Medicine
1320 CELESTE DR
MODESTO, CA 95355
Family Medicine
1320 CELESTE DR
MODESTO, CA 95355
Nurse Practitioner
1320 CELESTE DR
MODESTO, CA 95355
Family Medicine
1320 CELESTE DR
MODESTO, CA 95355
Family Medicine
1320 CELESTE DR
MODESTO, CA 95355
Nurse Practitioner
1320 CELESTE DR
MODESTO, CA 95355

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 Collins's NPI number?

The NPI number for Jack Collins is 1245290865. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Jack Collins located?

Jack Collins practices at 1320 Celeste Dr, Modesto, CA 95355. The listed phone number is (209) 527-6900.

What is Jack Collins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Collins enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jack Collins was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.