MR. JACK R LICHTENSTEIN MD
NPI 1609844224
Internal Medicine in Annapolis, MD

Q: What is Jack Lichtenstein's NPI number?

The NPI number for Jack Lichtenstein is 1609844224. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Jack Lichtenstein's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Lichtenstein was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 09, 2006PECOS Enrolled

205 RIDGELY AVE, ANNAPOLIS, MD 21401(410) 263-6910(443) 443-0456 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jack R Lichtenstein Md NPPES

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

MR. JACK R LICHTENSTEIN MD (NPI 1609844224) is an individual internal medicine provider in Annapolis, Maryland, licensed in Maryland (D08194) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609844224

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. JACK R LICHTENSTEINCredential: MD

Location Address205 RIDGELY AVEAnnapolis, MD 21401

Mailing Address205 Ridgely AveAnnapolis, MD 21401 · (410) 263-6910 · Fax (443) 443-0456

Phone(410) 263-6910

Fax(443) 443-0456

Sole ProprietorYes

Enumeration DateMarch 9, 2006

Last NPPES UpdateFebruary 21, 2008

✔ NPI 1609844224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D08194

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License D08194 (MD)

205 RIDGELY AVE, Annapolis, MD 21401

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Other Identifiers 4

Medicare ID-Type Unspecified796MMD

Medicare UPIND76263

OtherJ1740003DC · Carefirst

Other3304001MD · Carefirst

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jack R Lichtenstein 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%344 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%390 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%368 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 8

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

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