DR. JACK E MARSHALL MD
NPI 1982608873
Pain Medicine - Interventional Pain Medicine in Oklahoma City, OK

Active since June 08, 2005PECOS EnrolledCLIA 37D2054469 · Waiver
14100 PARKWAY COMMONS DR STE 102, OKLAHOMA CITY, OK 73134(406) 286-9820(405) 286-9813 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack E Marshall Md NPPES

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

DR. JACK E MARSHALL MD (NPI 1982608873) is an individual interventional pain medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (15252) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through February 20, 2027.

NPPES Registry Identity

NPI1982608873
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. JACK E MARSHALLCredential: MD
Location Address14100 PARKWAY COMMONS DR STE 102Oklahoma City, OK 73134-6036
Mailing AddressPo Box 269031Oklahoma City, OK 73126-9031 · (405) 286-9820 · Fax (405) 286-9813
Fax(405) 286-9813
Sole ProprietorNo
Enumeration DateJune 8, 2005
Last NPPES UpdateFebruary 20, 2020
NPI 1982608873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in OK · 15252
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 15252 (OK)
14100 PARKWAY COMMONS DR STE 102, Oklahoma City, OK 73134

Other Identifiers 3

Other050058014OK · Old Medicare Rr
Medicaid100124480AOK
OtherP00445607OK · Medicare Rr

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 (PECOS)

Dr. Jack E Marshall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2054469

Jack E Marshall, MD, LLC · Oklahoma City, OK
Active · expires Feb 20, 2027
CLIA Number37D2054469
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorJack E. Marshall
Laboratory Phone(405) 286-9820
Laboratory LocationJack E Marshall, MD, LLC14100 Parkway Commons Dr, Ste 100, Oklahoma City, OK 73134
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73134 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Marshall's NPI number?

The NPI number for Jack Marshall is 1982608873. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Jack Marshall located?

Jack Marshall practices at 14100 Parkway Commons Dr Ste 102, Oklahoma City, OK 73134. The listed phone number is (406) 286-9820.

What is Jack Marshall's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Jack Marshall enrolled in Medicare?

Yes. Jack Marshall is registered in the Medicare PECOS enrollment system.

Does Jack Marshall hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2054469) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jack Marshall accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Jack Marshall 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.

When was this NPI record last updated?

The NPPES record for Jack Marshall was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.