1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Family Medicine
  6. NPI Profile

JACK E YAKISH MD
NPI 1417947730
Family Medicine in Erie, PA

Active since October 27, 2005PECOS Enrolled
93.78/100
CMS Quality Rating
3822 COLONIAL AVE, ERIE, PA 16506(814) 833-5653(814) 838-1153 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, May 19, 2020 (2 updates tracked since 2020).

About Jack E Yakish Md NPPES

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

JACK E YAKISH MD (NPI 1417947730) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD027411E) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417947730
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK E YAKISHCredential: MD
Location Address3822 COLONIAL AVEErie, PA 16506-3826
Mailing Address3822 Colonial AveErie, PA 16506-3826 · (814) 833-5653 · Fax (814) 838-1153
Phone(814) 833-5653
Fax(814) 838-1153
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1417947730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD027411E
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.
3822 COLONIAL AVE, Erie, PA 16506
Open in Google Maps ↗

Other Identifiers 2

Other000078754PA · Bsu
OtherP00280017PA · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack E Yakish Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Yakish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Medical Education And Research Institute Inc
5.1 mi
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
NPI 1902881477 (814) 452-5043

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16506 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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
6 suppliers15 claims24 services$6.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.16 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier11 claims11 services$840.48 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$36.21 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 suppliers23 claims23 services$85.86 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.

MRS. JAMIE L MORASKI RD,LDN
Dietitian, Registered
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 835-2626
JEFFREY E CLEMENTE M.D.
Family Medicine
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 833-5653
FRANK JOSEPH MCLAUGHLIN D.O.
Family Medicine
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 833-5653
TAMMY LEE SWARM CRNPPE
Nurse Practitioner
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 833-5653
JORDYN M ASTORINO PA-C
Physician Assistant
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 835-1331
RICHARD L COGLEY MD
Family Medicine
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 833-5653
PAMELA SUE CAMPBELL R.D., L.D.N., C.D.E.
Dietitian, Registered
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 835-2626
COLONIAL FAMILY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
3822 COLONIAL AVE
ERIE, PA 16506
Erie County (814) 835-0000

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 Yakish's NPI number?

The NPI number for Jack Yakish is 1417947730. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Jack Yakish located?

Jack Yakish practices at 3822 Colonial Ave, Erie, PA 16506. The listed phone number is (814) 833-5653.

What is Jack Yakish's specialty?

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

Is Jack Yakish enrolled in Medicare?

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

Which organization bills Medicare for Jack Yakish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Yakish reassigns Medicare benefits to St Vincent Medical Education And Research Institute Inc (Erie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Yakish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Yakish was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.