Active NPI 1962484949 Individual Practitioner Male Practitioner

Dr. Jack Nathan Poles , MD

Internal Medicine • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jack Poles, MD is a registered healthcare professional specializing in Internal Medicine in Phoenix, AZ. Practice services are available at 9100 N 2ND ST under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9100 N 2nd St
Suite 121

Phoenix, AZ 850202446

Telephone 6029977331

Fax 6028704512

Associated Practice Facility / Clinic

🏢 Honorhealth Medical Group, Llc Facility NPI 1255442380

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.5 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

726 Specialists

Practicing in Phoenix, AZ (2967 Statewide)

Telehealth Adoption Rate

16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	852	401	$5.56	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	531	286	$130.65	$73.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	467	325	$191.76	$107.68
93000 Routine ekg using at least 12 leads including interpretation and report	85	82	$30.08	$16.93
G0008 Administration of influenza virus vaccine	83	82	$57.28	$16.56
90662 Influenza vaccine split virus, preservative free	77	76	$119.38	$60.58
99442 Telephone medical discussion with physician, 11-20 minutes	77	61	$101.73	$67.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	19	$24.16	$14.18
99441 Telephone medical discussion with physician, 5-10 minutes	56	53	$45.66	$34.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$204.84	$115.52
99443 Telephone medical discussion with physician, 21-30 minutes	32	30	$167.50	$102.73
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	31	30	$22.00	$14.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$253.57	$140.41
J1040 Injection, methylprednisolone acetate, 80 mg	23	17	$20.61	$11.64
69210 Removal of impacted ear wax	14	14	$86.43	$48.03
G0009 Administration of pneumococcal vaccine	14	14	$50.29	$16.37
81002 Urinalysis, manual test	13	13	$30.62	$3.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,069	477	$4.96	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	704	418	$162.00	$106.57
99213 Established patient office or other outpatient visit, typically 15 minutes	593	315	$111.00	$73.07
93000 Routine ekg using at least 12 leads including interpretation and report	157	146	$25.00	$16.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	155	34	$25.00	$16.46
G0008 Administration of influenza virus vaccine	96	95	$46.00	$16.25
90662 Influenza vaccine split virus, preservative free	87	87	$81.15	$54.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$174.00	$114.81
G0009 Administration of pneumococcal vaccine	58	57	$46.00	$16.25
J1040 Injection, methylprednisolone acetate, 80 mg	56	44	$23.63	$12.24
90670 Pneumococcal vaccine for injection into muscle	54	54	$381.24	$204.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	29	$217.00	$143.97
80305 Testing for presence of drug, read by direct observation	22	19	$19.00	$12.35
69210 Removal of impacted ear wax	22	21	$71.00	$46.86
20610 Aspiration and/or injection of fluid from large joint	20	14	$99.00	$58.22
81002 Urinalysis, manual test	19	18	$5.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$245.00	$155.72
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$29.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,044	506	$5.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	863	457	$160.00	$105.26
99213 Established patient office or other outpatient visit, typically 15 minutes	451	284	$108.00	$71.50
G0008 Administration of influenza virus vaccine	152	152	$45.00	$19.99
90662 Influenza vaccine split virus, preservative free	139	139	$74.00	$52.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	30	$31.00	$20.09
93000 Routine ekg using at least 12 leads including interpretation and report	96	96	$26.00	$16.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$174.00	$114.42
J1040 Injection, methylprednisolone acetate, 80 mg	46	32	$9.00	$8.88
81002 Urinalysis, manual test	27	26	$5.00	$3.41
20610 Aspiration and/or injection of fluid from large joint	21	17	$102.86	$62.36
69210 Removal of impacted ear wax	19	18	$73.00	$47.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$244.00	$153.18
G0009 Administration of pneumococcal vaccine	15	15	$45.00	$19.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$215.00	$142.60
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$29.00	$18.65
69209 Removal of impacted ear wax by washing	11	11	$30.55	$16.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	25,600	11	$0.04	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	981	457	$161.00	$105.46
36415 Insertion of needle into vein for collection of blood sample	417	306	$5.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	253	190	$110.00	$71.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	199	54	$38.00	$25.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$175.00	$114.02
G0008 Administration of influenza virus vaccine	136	133	$45.00	$25.01
90662 Influenza vaccine split virus, preservative free	113	112	$74.00	$47.62
J1040 Injection, methylprednisolone acetate, 80 mg	67	51	$9.00	$8.82
93000 Routine ekg using at least 12 leads including interpretation and report	53	52	$25.00	$16.45
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	49	49	$25.00	$16.75
69210 Removal of impacted ear wax	34	31	$74.00	$47.70
20610 Aspiration and/or injection of fluid from large joint	19	16	$95.79	$44.69
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$29.00	$18.65
81002 Urinalysis, manual test	16	16	$5.00	$3.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$246.00	$162.02

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AZ AP6412085

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Board Cert #

41884 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Vimala Kukunoor , MD

Internal Medicine

NPI 1063477495

Doctor of Medicine (M.D.)

Dr. Gerald Schwartzberg , MD

Internal Medicine - Pulmonary Disease

NPI 1104914472

Doctor of Medicine (M.D.)

Nevin Paul

Student in an Organized Health Care Education/Training Program

NPI 1114896313

Dr. Mark Shucker , MD

Internal Medicine

NPI 1134185978

Doctor of Medicine (M.D.)

Dr. Alfredo Lim , MD

Internal Medicine

NPI 1225002371

Doctor of Medicine (M.D.)

Dr. Monica Chaung , MD

Family Medicine

NPI 1437654795

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2013

Registered at 9100 N 2ND ST, SUITE 121, PHOENIX, AZ 850202446 (Tel: 6029977331)

📍

Updated Business Mailing Address September 24, 2013

Registered at 2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 850274171 (Tel: 6022146148)

👤

Provider Name / Credentials Updated September 24, 2013

Recorded as JACK POLES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Internal Medicine (License #AP6412085 in AZ)

🟢

Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962484949

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2005

Last Update: September 24, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2500 W Utopia Rd, Ste. 100

Phoenix, AZ 850274171

Phone: 6022146148

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.