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DR. MICHAEL JACK D.P.M.
NPI 1780080812
Podiatrist in Kent, OH

Active since November 18, 2014PECOS EnrolledAccepts Medicare Assignment
1930 STATE ROUTE 59, KENT, OH 44240(330) 673-3505(330) 673-4888 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2020, Aug 6, 2020, Apr 20, 2017 (3 updates tracked since 2017).

About Dr. Michael Jack D.p.m. NPPES

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

DR. MICHAEL JACK D.P.M. (NPI 1780080812) is an individual podiatrist in Kent, Ohio, licensed in Ohio (36.003804) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780080812
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MICHAEL JACKCredential: D.P.M.
Location Address1930 STATE ROUTE 59Kent, OH 44240-4112
Mailing Address1930 State Route 59Kent, OH 44240-4112 · (330) 596-6000 · Fax (330) 596-7752
Phone(330) 673-3505
Fax(330) 673-4888
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2014
Enumeration DateNovember 18, 2014
Last NPPES UpdateAugust 20, 20203 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1780080812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 36.003804
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1930 STATE ROUTE 59, Kent, OH 44240
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1200 E State St, Medical Education-Podiatry ResidentAlliance, OH 44601-4936 · Phone (330) 596-6000 ext. 7750 · Fax (330) 596-7752
Location 2201 5th St NE Ste 5Barberton, OH 44203-3017 · Phone (330) 864-8501 · Fax (330) 864-8508
Location 32950 W Market StFairlawn, OH 44333-3614 · Phone (330) 864-8501 · Fax (330) 864-8508

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Michael Jack D.p.m. 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 ID5395012868
PECOS Enrollment IDI20170605001628
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 8

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 fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
351 services135 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
290 services55 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.
63 services43 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
61 services23 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.
48 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44240 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
5 suppliers28 claims1,240 services$0.09 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
4 suppliers19 claims645 services$7.11 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
4 suppliers24 claims922 services$2.06 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims420 services$3.09 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
5 suppliers21 claims1,584 services$0.10 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
5 suppliers32 claims4,135 services$0.38 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL H SMITH MD INC
Surgery
1930 STATE ROUTE 59
KENT, OH 44240
Portage County (330) 678-5447
DR. RODNEY SCOTT DPM
Podiatrist (Foot & Ankle Surgery)
1930 STATE ROUTE 59, STE D
KENT, OH 44240
Portage County (330) 673-3505
PENN IMAGING ASSOCIATES PC
Radiology (Diagnostic Radiology)
1930 STATE ROUTE 59
KENT, OH 44240
Portage County (724) 656-4127
PROFESSIONAL MANAGEMENT SYSTEMS, LLC
Radiology (Diagnostic Radiology)
1930 STATE ROUTE 59
KENT, OH 44240
Portage County (330) 677-3632
ALBERT J. COOK M.D. INC
Radiology (Diagnostic Radiology)
1930 STATE ROUTE 59
KENT, OH 44240
Portage County (330) 677-3632
OHIO IMAGING CENTERS INC.
Radiology (Diagnostic Radiology)
1930 STATE ROUTE 59
KENT, OH 44240
Portage County (330) 677-3632
WRSC ACQUISITION GROUP, LLC
Clinic/Center (Ambulatory Surgical)
1930 STATE ROUTE 59
KENT, OH 44240
Portage County (330) 677-3292
DR. RANDALL HOWARD SMITH M.D.
Surgery
1930 STATE ROUTE 59, SUITE D
KENT, OH 44240
Portage County (330) 678-5447

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 Michael Jack's NPI number?

The NPI number for Michael Jack is 1780080812. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Michael Jack located?

Michael Jack practices at 1930 State Route 59, Kent, OH 44240. The listed phone number is (330) 673-3505.

What is Michael Jack's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Michael Jack enrolled in Medicare?

Yes. Michael 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 Michael Jack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Michael 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 Michael Jack affiliated with any hospitals?

According to CMS data, Michael Jack is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Michael Jack was last updated on August 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.