MELINDA KRISTINE JACK M.D.
NPI 1760543177
Colon & Rectal Surgery in Columbus, OH

Q: What is Melinda Jack's NPI number?

The NPI number for Melinda Jack is 1760543177. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Melinda Jack's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Melinda Jack was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 12, 2006PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

5965 E BROAD ST, SUITE 120, COLUMBUS, OH 43213(614) 864-1000(614) 864-1444 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Melinda Kristine Jack M.d. NPPES

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

MELINDA KRISTINE JACK M.D. (NPI 1760543177) is an individual colon & rectal surgery provider in Columbus, Ohio, licensed in Ohio (35-088654) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2004).

NPPES Registry Identity

NPI1760543177

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameMELINDA KRISTINE JACKCredential: M.D.

Location Address5965 E BROAD ST, SUITE 120Columbus, OH 43213-1562

Mailing Address5965 E Broad St, Suite 120Columbus, OH 43213-1562 · (614) 864-1000 · Fax (614) 864-1444

Phone(614) 864-1000

Fax(614) 864-1444

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2004

Enumeration DateDecember 12, 2006

Last NPPES UpdateJanuary 5, 2022

✔ NPI 1760543177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in OH · 35-088654

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 35088654 (OH)

5965 E BROAD ST, Columbus, OH 43213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

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

Melinda Kristine Jack M.d. 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 ID244335941

PECOS Enrollment IDI20070424000548

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 9

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.

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

47 services28 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

46 services44 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services20 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

81.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$5.81 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MOUNT CARMEL HEALTH PROVIDERS TWO, LLC

Psychologist

5965 E BROAD ST, SUITE 370
COLUMBUS, OH 43213

Franklin County (614) 866-5555

KARAMJIT S KHANDUJA MD

Colon & Rectal Surgery

5965 E BROAD ST, #250
COLUMBUS, OH 43213

Franklin County (614) 759-5060

TARIQ GILL M.D.

Psychiatry & Neurology (Neurology)

5965 E BROAD ST, SUITE 260
COLUMBUS, OH 43213

Franklin County (614) 866-3703

LAURA LYNN MILLER PT

Physical Therapist

5965 E BROAD ST, SUITE 390
COLUMBUS, OH 43213

Franklin County (614) 234-8009

DR. JORDEN BRENT WEISS JORDEN WEISS D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

5965 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 759-5075

CENTRAL OHIO COLON AND RECTAL CTR, INC.

Surgery

5965 E BROAD ST, SUITE 120
COLUMBUS, OH 43213

Franklin County (614) 864-1000

DR. PATRICIA CHRISTINE GARCIA D.O.

Psychiatry & Neurology (Neurology)

5965 E BROAD ST, SUITE 260
COLUMBUS, OH 43213

Franklin County (614) 866-3703

ELLEN HUNTER BAILEY M.D.

Colon & Rectal Surgery

5965 E BROAD ST, SUITE #250
COLUMBUS, OH 43213

Franklin County (614) 759-5060

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 Melinda Jack's NPI number?

The NPI number for Melinda Jack is 1760543177. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Melinda Jack located?

Melinda Jack practices at 5965 E Broad St Suite 120, Columbus, OH 43213. The listed phone number is (614) 864-1000.

What is Melinda Jack's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Melinda Jack enrolled in Medicare?

Yes. Melinda 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.

What insurance does Melinda Jack accept?

Health plans from CareSource and MedMutual list Melinda Jack 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.

Is Melinda Jack affiliated with any hospitals?

According to CMS data, Melinda Jack is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Melinda Jack was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.