JACK G DEMOSS MD
NPI 1891433595
Family Medicine in Omaha, NE
About Jack G Demoss Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK G DEMOSS MD (NPI 1891433595) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (37173) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jack G Demoss 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 Reassignment
Medicare enrollment records show Jack Demoss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68114
- Reassigned Medicare billing, Nebraska enrollment
- 544 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Nebraska Methodist Hospital
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68135 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jack Demoss's NPI number?
The NPI number for Jack Demoss is 1891433595. It was assigned to this individual provider in the NPPES registry on May 23, 2022.
Where is Jack Demoss located?
Jack Demoss practices at 4932 S 202nd Ave, Omaha, NE 68135. The listed phone number is (402) 815-7500.
What is Jack Demoss's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jack Demoss enrolled in Medicare?
Yes. Jack Demoss 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 organization bills Medicare for Jack Demoss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Demoss reassigns Medicare benefits to Physicians Clinic Inc (Omaha, NE). The 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 Jack Demoss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Demoss accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Jack Demoss 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 Jack Demoss affiliated with any hospitals?
According to CMS data, Jack Demoss is affiliated with The Nebraska Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Jack Demoss was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Jack G Demoss, MD · NPI 1891433595
Family Medicine physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1891433595 (Entity type: Individual)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 37173 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 4932 S 202ND AVE, Omaha, NE 68135-3927
- **Phone:** (402) 815-7500 · **Fax:** (402) 815-7505
## 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:** Physicians Clinic Inc (NPI 1821049156, Omaha, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891433595) · Data from the CMS NPPES public registry.