JACK J JORGENSON MD
NPI 1922503168
Family Medicine in Shoreline, WA

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
604 NW RICHMOND BEACH RD, SHORELINE, WA 98177(206) 533-2900(206) 533-2901 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2021, Aug 23, 2021, Jun 8, 2021 and 1 more (4 updates tracked since 2018).

About Jack J Jorgenson Md NPPES

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

JACK J JORGENSON MD (NPI 1922503168) is an individual family medicine provider in Shoreline, Washington, licensed in Washington (MD70005153) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Medical College Of Wisconsin (2018).

NPPES Registry Identity

NPI1922503168
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK J JORGENSONCredential: MD
Location Address604 NW RICHMOND BEACH RDShoreline, WA 98177-3122
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476
Fax(206) 533-2901
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateFebruary 24, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
NPI 1922503168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD70005153
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.
604 NW RICHMOND BEACH RD, Shoreline, WA 98177

Other Identifiers 1

Medicaid2349648WA

Accepted 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

Jack J Jorgenson 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 ID2163857046
PECOS Enrollment IDI20210616002176, I20250913000585
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services63 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.
69 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98177 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 9

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

Family Medicine
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177
Nurse Practitioner (Family)
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177
Family Medicine
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177
Family Medicine
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177
Pediatrics
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177
Family Medicine
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177
Nurse Practitioner (Family)
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177
Family Medicine
604 NW RICHMOND BEACH RD
SHORELINE, WA 98177

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 Jorgenson's NPI number?

The NPI number for Jack Jorgenson is 1922503168. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Jack Jorgenson located?

Jack Jorgenson practices at 604 NW Richmond Beach Rd, Shoreline, WA 98177. The listed phone number is (206) 533-2900.

What is Jack Jorgenson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Jorgenson enrolled in Medicare?

Yes. Jack Jorgenson 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 Jack Jorgenson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jack Jorgenson 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 Jorgenson affiliated with any hospitals?

According to CMS data, Jack Jorgenson is affiliated with Swedish Edmonds Hospital, Swedish Medical Center, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Jack Jorgenson was last updated on February 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.