DR. JACK W TSAO MD, DPHIL
NPI 1437135084
Psychiatry & Neurology - Neurology in Memphis, TN

Active since December 15, 2005PECOS Enrolled
84.47/100
CMS Quality Rating
1331 UNION AVE STE 1145, MEMPHIS, TN 38104(901) 448-7674 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2021, Oct 16, 2018, Mar 27, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Jack W Tsao Md, Dphil NPPES

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

DR. JACK W TSAO MD, DPHIL (NPI 1437135084) is an individual neurology provider in Memphis, Tennessee, licensed in Tennessee (51145) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437135084
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JACK W TSAOCredential: MD, DPHIL
Location Address1331 UNION AVE STE 1145Memphis, TN 38104-7509
Mailing Address847 Monroe Ave Ste 226Memphis, TN 38103-4901 · (901) 448-7674 · Fax (901) 448-7440
Sole ProprietorNo
Enumeration DateDecember 15, 2005
Last NPPES UpdateApril 25, 20235 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
✔ NPI 1437135084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in TN · 51145✔ Licensed in NY · 310245
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 51145 (TN)
1331 UNION AVE STE 1145, Memphis, TN 38104

Secondary Practice Locations 2

Location 14301 Jones Bridge Rd, Rm A1036Bethesda, MD 20814-4712 · Phone (301) 295-3643 · Fax (301) 295-0620
Location 2145 E 32nd St Fl 2New York, NY 10016-6055 · Phone (212) 263-3210

Other Identifiers 4

MedicaidQ031283TN
Medicaid226224001AR
Medicaid1437135084MO
Medicaid03882085MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack W Tsao Md, Dphil 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 Reassignments

3

Medicare enrollment records show Jack Tsao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
Neurology
85 BROAD ST FL 16
New York, NY 10004
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • 176 clinicians in this Medicare group

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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Neurology)
1331 UNION AVE STE 1145
MEMPHIS, TN 38104

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 Tsao's NPI number?

The NPI number for Jack Tsao is 1437135084. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Jack Tsao located?

Jack Tsao practices at 1331 Union Ave Ste 1145, Memphis, TN 38104. The listed phone number is (901) 448-7674.

What is Jack Tsao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jack Tsao enrolled in Medicare?

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

Which organizations bill Medicare for Jack Tsao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Tsao reassigns Medicare benefits to 3 organizations: New York University (Boynton Beach, FL), Brain Health Medical PC (New York, NY) and Memorial Hospital Of Sweetwater County (Rock Springs, WY). Each 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 Tsao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Tsao accept?

Health plans from Oscar Health list Jack Tsao 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 Tsao was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.