1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Family Medicine
  6. NPI Profile

JACK G DEMOSS MD
NPI 1891433595
Family Medicine in Omaha, NE

Active since May 23, 2022PECOS EnrolledAccepts Medicare Assignment
4932 S 202ND AVE, OMAHA, NE 68135(402) 815-7500(402) 815-7505 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2025, May 23, 2022 (2 updates tracked since 2022).

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 St Lukes Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891433595
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK G DEMOSSCredential: MD
Location Address4932 S 202ND AVEOmaha, NE 68135-3927
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Phone(402) 815-7500
Fax(402) 815-7505
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2022
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1891433595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · 37173✔ Licensed in IA · R-12436
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4932 S 202ND AVE, Omaha, NE 68135
Open in Google Maps ↗

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

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.

PECOS PAC ID8022496611
PECOS Enrollment IDI20251120000617
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.

Hospital Affiliations CMS Care Compare 2

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES

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

PHYSICIANS CLINIC INC
Durable Medical Equipment & Medical Supplies
4932 S 202ND AVE
OMAHA, NE 68135
Douglas County (402) 815-7500

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.

Is Jack Demoss affiliated with any hospitals?

According to CMS data, Jack Demoss is affiliated with St Lukes Regional Medical Center and 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 8 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.