DR. JACK A DEKKINGA MD
NPI 1255365334
Dermatology - MOHS-Micrographic Surgery in Wyoming, MI

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
91.52/100
CMS Quality Rating
1673 GEZON PKWY SW, WYOMING, MI 49519(616) 243-3376(616) 243-3377 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Feb 18, 2022, Nov 7, 2018 (3 updates tracked since 2018).

About Dr. Jack A Dekkinga Md NPPES

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

DR. JACK A DEKKINGA MD (NPI 1255365334) is an individual mohs-micrographic surgery provider in Wyoming, Michigan, licensed in Michigan (5601039679) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1981).

NPPES Registry Identity

NPI1255365334
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. JACK A DEKKINGACredential: MD
Location Address1673 GEZON PKWY SWWyoming, MI 49519-9519
Mailing Address1673 Gezon Pkwy SwWyoming, MI 49519-9519 · (616) 243-3376 · Fax (162) 433-3776
Fax(616) 243-3377
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1981
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
NPI 1255365334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in MI · 5601039679
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 4301039679 (MI)
1673 GEZON PKWY SW, Wyoming, MI 49519

Other Identifiers 4

OtherDX9137Medicare Rr Group
OtherMI11296Medicare Ptan Group
Other070D16223MI · Bcbs Mi
Medicaid1255365334MI

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 and accepts Medicare assignment

Dr. Jack A Dekkinga 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 ID3072508134
PECOS Enrollment IDI20051221000349
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
56 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

91.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.04
Improvement Activities40

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.

Dermatology
1673 GEZON PKWY SW
WYOMING, MI 49519
Dermatology
1673 GEZON PKWY SW
WYOMING, MI 49519

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 Dekkinga's NPI number?

The NPI number for Jack Dekkinga is 1255365334. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Jack Dekkinga located?

Jack Dekkinga practices at 1673 Gezon Pkwy SW, Wyoming, MI 49519. The listed phone number is (616) 243-3376.

What is Jack Dekkinga's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Jack Dekkinga enrolled in Medicare?

Yes. Jack Dekkinga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Dekkinga accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Jack Dekkinga 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 Dekkinga was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.