JACK LOREN OWEN
NPI 1477143980
Radiology - Diagnostic Radiology in Oklahoma City, OK

Q: What is Jack Owen's NPI number?

The NPI number for Jack Owen is 1477143980. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Q: What is Jack Owen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jack Owen was last updated on July 8, 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.

Active since January 20, 2021PECOS Enrolled

3300 NW EXPWY, OKLAHOMA CITY, OK 73112(316) 293-2699 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jul 16, 2024, Jan 20, 2021 (3 updates tracked since 2021).

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About Jack Loren Owen NPPES

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

JACK LOREN OWEN (NPI 1477143980) is an individual diagnostic radiology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45787) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477143980

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJACK LOREN OWEN

Location Address3300 NW EXPWYOklahoma City, OK 73112-4418

Mailing Address3300 Nw ExpwyOklahoma City, OK 73112-4418 · (405) 949-3284

Phone(316) 293-2699

Sole ProprietorNo

Enumeration DateJanuary 20, 2021

Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1477143980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in OK · 45787

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3300 NW EXPWY, Oklahoma City, OK 73112

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Loren Owen 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 73112 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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.

DAVID DREW ALEXANDER

Emergency Medicine