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Active NPI 1376601443 Individual Practitioner Male Practitioner

Dr. Robert Lionel Jack , MD

Specialist • Menlo Park, CA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jack, MD is a registered healthcare professional specializing in Specialist in Menlo Park, CA. Practice services are available at 1225 CRANE ST under active NPI credentials.

Frequently performed procedures and clinical services include imaging of retina, established patient complete exam of visual system, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1225 Crane St

Menlo Park, CA 940254257

Telephone 6503230231
Fax 6505658297
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Menlo Park, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.8 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Menlo Park, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.2% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92134 Imaging of retina
140 73 $183.39 $30.29
92014 Established patient complete exam of visual system
122 80 $196.00 $93.37
67028 Injection of drug into eye
36 17 $641.33 $119.11

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G17236

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Monica Stone , MA

Marriage & Family Therapist

NPI 1003161209

Master of Arts

Katherine Graham

Physical Therapist - Orthopedic

NPI 1144578329
Dr. Michael Schneider , MD

Psychiatry & Neurology - Psychiatry

NPI 1164505533

Doctor of Medicine (M.D.)

Dr. Anupam Jayaram , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1174803944

Doctor of Medicine (M.D.)

Dr. Alex Dimitriu , MD

Psychiatry & Neurology - Psychiatry

NPI 1184882037

Doctor of Medicine (M.D.)

Bryan Lian , RD

Dietitian, Registered

NPI 1275800518

Registered Dietitian

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2012

Registered at 1225 CRANE ST, MENLO PARK, CA 940254257 (Tel: 6503230231)

📍
Updated Business Mailing Address January 03, 2012

Registered at 2452 WATSON CT, PALO ALTO, CA 943033216 (Tel: 6507216888)

👤
Provider Name / Credentials Updated January 03, 2012

Recorded as ROBERT JACK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2012

Specialist (License #G17236 in CA)

🟢
Initial NPI Registration & Enumeration December 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376601443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: January 03, 2012
Sole Proprietor: No

Mailing Address

2452 Watson Ct

Palo Alto, CA 943033216

Phone: 6507216888

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.