DEBORAH ANTHONY JACK MD
NPI 1750919924
Internal Medicine in Silver Spring, MD
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Deborah Jack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, Maryland enrollment
- 729 clinicians in this Medicare group
Elkton, MD 21921
- Reassigned Medicare billing, District of Columbia enrollment
- 347 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MDUniversity Of MD Shore Medical Center At Easton
Acute Care Hospitals · Easton, MDAdventist Healthcare Shady Grove Medical Center
Acute Care Hospitals · Rockville, MDAdventist Healthcare Fort Washington Medical Ctr
Acute Care Hospitals · Fort Washington, MDPhysician 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.
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.
SILVER SPRING, MD 20904
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 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.
Where is Deborah Jack located?
Deborah Jack practices at 11890 Healing Way, Silver Spring, MD 20904. The listed phone number is (240) 637-4000.
What is Deborah Jack's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Deborah Jack enrolled in Medicare?
Yes. Deborah Jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Deborah Jack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Jack reassigns Medicare benefits to 2 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA) and Usacs Integrated Acute Care Services Of Maryland, LLC (Elkton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deborah Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Deborah Jack affiliated with any hospitals?
According to CMS data, Deborah Jack is affiliated with University Of MD Shore Medical Ctr At Chestertown, University Of MD Shore Medical Center At Easton, Adventist Healthcare Shady Grove Medical Center and Adventist Healthcare Fort Washington Medical Ctr.
When was this NPI record last updated?
The NPPES record for Deborah Jack was last updated on June 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Deborah Anthony Jack, MD · NPI 1750919924
Internal Medicine physician in Silver Spring, Maryland. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1750919924 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D0097198 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11890 HEALING WAY, Silver Spring, MD 20904-7917
- **Phone:** (240) 637-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates P.A., P.C. (NPI 1134117393, Falls Church, VA); Usacs Integrated Acute Care Services Of Maryland, LLC (NPI 1922598929, Elkton, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750919924) · Data from the CMS NPPES public registry.