DR. JACK CLAYTON HUEBNER MD
NPI 1629714308
Hospitalist in Los Angeles, CA

Q: What is Jack Huebner's NPI number?

The NPI number for Jack Huebner is 1629714308. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Q: What is Jack Huebner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Huebner was last updated on July 1, 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 May 06, 2022PECOS Enrolled

757 WESTWOOD PLZ STE 7501, LOS ANGELES, CA 90095(310) 267-9643 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, May 6, 2022 (2 updates tracked since 2022).

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About Dr. Jack Clayton Huebner Md NPPES

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

DR. JACK CLAYTON HUEBNER MD (NPI 1629714308) is an individual hospitalist provider in Los Angeles, California, licensed in California (A202369) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629714308

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JACK CLAYTON HUEBNERCredential: MD

Location Address757 WESTWOOD PLZ STE 7501Los Angeles, CA 90095-8358

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5200

Phone(310) 267-9643

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 6, 2022

Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1629714308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A202369

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A202369 (CA)

757 WESTWOOD PLZ STE 7501, Los Angeles, CA 90095

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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)

Dr. Jack Clayton Huebner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123496585

PECOS Enrollment IDI20250514003517

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 90095 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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.

ATHEER A RAZZOUK MD

Internal Medicine