JACKIE LEE QUACH M.D.
NPI 1396096418
Pediatrics in Marion, OH

Q: What is Jackie Quach's NPI number?

The NPI number for Jackie Quach is 1396096418. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Q: What is Jackie Quach's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Quach was last updated on December 15, 2021. 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.

Active since September 28, 2012PECOS Enrolled

1040 DELAWARE AVE, MARION, OH 43302(740) 383-8090(740) 375-6481 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie Lee Quach M.d. NPPES

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

JACKIE LEE QUACH M.D. (NPI 1396096418) is an individual pediatrics provider in Marion, Ohio, licensed in Ohio (35.121203) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396096418

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACKIE LEE QUACHCredential: M.D.

Location Address1040 DELAWARE AVEMarion, OH 43302-6416

Mailing Address# L-3652Columbus, OH 43260-6453 · (740) 383-7927 · Fax (740) 383-7942

Phone(740) 383-8090

Fax(740) 375-6481

Sole ProprietorNo

Enumeration DateSeptember 28, 2012

Last NPPES UpdateDecember 15, 2021

✔ NPI 1396096418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in OH · 35.121203✔ Licensed in CA · A119861

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1040 DELAWARE AVE, Marion, OH 43302

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Other Identifiers 1

Medicaid0087085OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Lee Quach M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 43302 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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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.

DR. BERNARD HAROLD NOWACKI MD

Orthopaedic Surgery