DEBORAH ANTHONY JACK MD
NPI 1750919924
Internal Medicine in Silver Spring, MD

Q: What is Deborah Jack's NPI number?

The NPI number for Deborah Jack is 1750919924. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Deborah Jack'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 Deborah Jack was last updated on June 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

11890 HEALING WAY, SILVER SPRING, MD 20904(240) 637-4000 Get Directions Write a Review

NPPES record last updated: June 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2023, Mar 31, 2020 (2 updates tracked since 2020).

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About Deborah Anthony Jack Md NPPES

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

DEBORAH ANTHONY JACK MD (NPI 1750919924) is an individual internal medicine provider in Silver Spring, Maryland, licensed in Maryland (D0097198) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and is a graduate of Howard University College Of Medicine (2020).

NPPES Registry Identity

NPI1750919924

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDEBORAH ANTHONY JACKCredential: MD

Location Address11890 HEALING WAYSilver Spring, MD 20904-7917

Mailing Address11013 Lake Victoria LnBowie, MD 20720-4272 · (240) 281-9613

Phone(240) 637-4000

Sole ProprietorYes

Medical School CMSHoward University College Of MedicineGraduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateJune 18, 20232 updates tracked since enumeration

NPPES CertifiedJune 18, 2023

✔ NPI 1750919924 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 · D0097198

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11890 HEALING WAY, Silver Spring, MD 20904

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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 and accepts Medicare assignment

Deborah Anthony Jack Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749644961

PECOS Enrollment IDI20230906003300, I20251211000426

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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

316 services158 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

51 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

48 services48 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

33 services33 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD

OwnershipVoluntary non-profit - Private

CMS Certification Number210030

Location100 Brown StreetChestertown, MD 21620 · Kent County

Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210037

Location219 South Washington StreetEaston, MD 21601 · Talbot County

Emergency services

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210057

Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County

Emergency services Birthing friendly

Adventist Healthcare Fort Washington Medical Ctr

Acute Care Hospitals · Fort Washington, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210060

Location11711 Livingston RoadFort Washington, MD 20744 · Prince Georges County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20904 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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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.

JAADEEP MANN MD, MPH

Internal Medicine