DR. JACOB MATTHEW PACK DDS
NPI 1699116004
Dentist - Endodontics in Gainesville, FL

Q: What is Jacob Pack's NPI number?

The NPI number for Jacob Pack is 1699116004. It was assigned to this individual provider in the NPPES registry on July 13, 2013.

Q: What is Jacob Pack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Pack was last updated on July 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 13, 2013PECOS Enrolled

5843 SW 85TH ST, GAINESVILLE, FL 32608(619) 787-2148 Get Directions Write a Review

NPPES record last updated: July 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacob Matthew Pack Dds NPPES

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

DR. JACOB MATTHEW PACK DDS (NPI 1699116004) is an individual endodontics provider in Gainesville, Florida, licensed in Florida (1227) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699116004

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. JACOB MATTHEW PACKCredential: DDS

Location Address5843 SW 85TH STGainesville, FL 32608-8526

Mailing Address5843 Sw 85th StGainesville, FL 32608-8526 · (619) 787-2148

Phone(619) 787-2148

Sole ProprietorYes

Enumeration DateJuly 13, 2013

✔ NPI 1699116004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in FL · 1227

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

5843 SW 85TH ST, Gainesville, FL 32608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Jacob Matthew Pack Dds 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 32608 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Jacob Pack's NPI number?

The NPI number for Jacob Pack is 1699116004. It was assigned to this individual provider in the NPPES registry on July 13, 2013.

Where is Jacob Pack located?

Jacob Pack practices at 5843 SW 85th St, Gainesville, FL 32608. The listed phone number is (619) 787-2148.

What is Jacob Pack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jacob Pack enrolled in Medicare?

Yes. Jacob Pack is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Pack accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Jacob Pack 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 Jacob Pack was last updated on July 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.