JACK J GREENBERG MD
NPI 1366465460
Family Medicine in Albuquerque, NM

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
2121 JUAN TABO NE, ALBUQUERQUE, NM 87112(505) 237-8800(505) 237-8803 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Apr 30, 2019 (2 updates tracked since 2019).

About Jack J Greenberg Md NPPES

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

JACK J GREENBERG MD (NPI 1366465460) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (81-212) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1978).

NPPES Registry Identity

NPI1366465460
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK J GREENBERGCredential: MD
Location Address2121 JUAN TABO NEAlbuquerque, NM 87112
Mailing AddressPo Box 26028Albuquerque, NM 87125-6028 · (505) 262-7963 · Fax (505) 232-1627
Fax(505) 237-8803
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1978
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1366465460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · 81-212
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.
2121 JUAN TABO NE, Albuquerque, NM 87112

Other Identifiers 1

Medicaid30775NM

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

Jack J Greenberg 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 ID749297513
PECOS Enrollment IDI20060320000511
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
214 services139 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
20 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87112 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims24 services$5.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$65.49 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 2

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

Family Medicine
2121 JUAN TABO NE
ALBUQUERQUE, NM 87112
Family Medicine
2121 JUAN TABO NE
ALBUQUERQUE, NM 87112

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 Greenberg's NPI number?

The NPI number for Jack Greenberg is 1366465460. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Jack Greenberg located?

Jack Greenberg practices at 2121 Juan Tabo NE, Albuquerque, NM 87112. The listed phone number is (505) 237-8800.

What is Jack Greenberg's specialty?

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

Is Jack Greenberg enrolled in Medicare?

Yes. Jack Greenberg 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.

When was this NPI record last updated?

The NPPES record for Jack Greenberg was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.