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: July 19, 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
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

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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.3 for a new patient copayment and $23.38 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 68135 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.2
  • Minimum New Patient Price $52.69
  • Maximum New Patient Price $160.21
  • Average New Patient Copayment $20.3
  • Minimum New Patient Copayment $13.17
  • Maximum New Patient Copayment $40.05

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.55
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $131.25
  • Average Established Patient Copayment $23.38
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.81

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jack Demoss is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST LUKES REGIONAL MEDICAL CENTER2720 STONE PARK BOULEVARD
SIOUX CITY, IA 51104
(712) 279-3500Acute Care Hospitals
THE NEBRASKA METHODIST HOSPITAL8303 DODGE ST
OMAHA, NE 68114
(402) 354-4000Acute Care Hospitals

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
4932 S 202ND AVE
OMAHA, NE 68135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891433595, enumerated as an "individual" on May 23, 2022.

The provider is located at 4932 S 202ND AVE OMAHA, NE 68135 and the phone number is (402) 815-7500.

Family Medicine with taxonomy code 207Q00000X.

Jack Demoss is affiliated with: ST LUKES REGIONAL MEDICAL CENTER and THE NEBRASKA METHODIST HOSPITAL.