STUART ANDREW JACK
NPI 1255950713
Internal Medicine in Tulsa, OK

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
4502 E 41ST ST, TULSA, OK 74135(918) 619-4400 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Jul 11, 2023, Aug 13, 2021 and 1 more (4 updates tracked since 2020).

About Stuart Andrew Jack NPPES

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

STUART ANDREW JACK (NPI 1255950713) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Florida (ME167093) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255950713
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTUART ANDREW JACK
Location Address4502 E 41ST STTulsa, OK 74135-2536
Mailing Address3704 E 67th StTulsa, OK 74136-2821 · (913) 708-0434
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1255950713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in FL · ME167093 Licensed in OK · 35968
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4502 E 41ST ST, Tulsa, OK 74135

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

Stuart Andrew Jack 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 ID9335514686
PECOS Enrollment IDI20240730004651
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
309 services112 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
102 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
65 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

Emergency Medicine
4502 E 41ST ST
TULSA, OK 74135
Internal Medicine
4502 E 41ST ST
TULSA, OK 74135
Student in an Organized Health Care Education/Training Program
4502 E 41ST ST
TULSA, OK 74135
Student in an Organized Health Care Education/Training Program
4502 E 41ST ST
TULSA, OK 74135
Internal Medicine
4502 E 41ST ST
TULSA, OK 74135
Student in an Organized Health Care Education/Training Program
4502 E 41ST ST
TULSA, OK 74135
Emergency Medicine
4502 E 41ST ST
TULSA, OK 74135
Emergency Medicine
4502 E 41ST ST
TULSA, OK 74135

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 Stuart Jack's NPI number?

The NPI number for Stuart Jack is 1255950713. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Stuart Jack located?

Stuart Jack practices at 4502 E 41st St, Tulsa, OK 74135. The listed phone number is (918) 619-4400.

What is Stuart Jack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stuart Jack enrolled in Medicare?

Yes. Stuart Jack 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 Stuart Jack accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Stuart Jack 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.

Is Stuart Jack affiliated with any hospitals?

According to CMS data, Stuart Jack is affiliated with Adventhealth North Pinellas, Florida Hospital Carrollwood and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Stuart Jack was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.