Active NPI 1780794107 Individual Practitioner Male Practitioner

Dr. Jack Ackerman , DO

Internal Medicine • San Jose, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jack Ackerman, DO is a certified Internal Medicine practicing in San Jose, CA. With approximately 38 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1988, Dr. Ackerman delivers high-quality medical care to the local community at 227 N JACKSON AVE.

Dr. Ackerman is affiliated with University Healthcare Alliance and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

227 N Jackson Ave

San Jose, CA 951161603

Telephone 4083472002

Fax 4083472189

Associated Practice Facility / Clinic

🏢 Physicians Medical Group Of San Jose, Inc. Facility NPI 1073648739

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in San Jose, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +13.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

448 Specialists

Practicing in San Jose, CA (18502 Statewide)

Telehealth Adoption Rate

18.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ackerman (38 Years) 38 Yrs

San Jose Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	814	446	$448.00	$153.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	229	229	$156.20	$153.08
99213 Established patient office or other outpatient visit, typically 15 minutes	149	131	$334.00	$110.78
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	99	86	$68.00	$18.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	77	$546.00	$216.46
90480 Admn sarscov2 vacc 1 dose	88	84	$176.00	$52.10
G0008 Administration of influenza virus vaccine	83	81	$39.00	$38.22
90662 Influenza vaccine split virus, preservative free	82	80	$271.00	$80.98
91322 Sarscov2 vac 50 mcg/0.5ml im	68	65	$344.63	$149.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	32	$65.00	$64.02
83036 Hemoglobin A1C level	27	24	$43.00	$9.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$1065.23	$289.96
G0009 Administration of pneumococcal vaccine	25	25	$39.00	$38.22
69209 Removal of impacted ear wax by washing	22	22	$97.50	$27.79
91320 Sarscv2 vac 30mcg trs-suc im	20	20	$319.50	$145.49
81003 Automated urinalysis test	20	20	$11.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$115.00	$17.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$688.00	$198.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$803.00	$261.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$198.00	$194.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$198.00	$194.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	799	492	$431.79	$152.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	213	213	$162.00	$155.90
G0008 Administration of influenza virus vaccine	102	102	$38.00	$36.96
90662 Influenza vaccine split virus, preservative free	101	101	$249.00	$71.80
99213 Established patient office or other outpatient visit, typically 15 minutes	97	90	$318.48	$109.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	76	$523.00	$213.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	61	35	$66.00	$64.55
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	42	42	$1010.00	$275.93
G0009 Administration of pneumococcal vaccine	42	42	$38.00	$36.96
0124A Fee covid-19 vac 13 res	29	29	$175.00	$49.27
90480 Admn sarscov2 vacc 1 dose	23	23	$175.00	$49.27
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$110.04	$17.79
91322 Sarscov2 vac 50 mcg/0.5ml im	21	21	$347.00	$143.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$666.30	$197.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$772.92	$260.07
83036 Hemoglobin A1C level	13	12	$41.00	$9.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$203.00	$196.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	714	444	$417.00	$153.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	171	117	$509.00	$213.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	170	170	$162.00	$157.79
99213 Established patient office or other outpatient visit, typically 15 minutes	117	103	$311.00	$109.45
G0008 Administration of influenza virus vaccine	106	105	$72.58	$37.27
90662 Influenza vaccine split virus, preservative free	101	101	$226.00	$68.41
G0009 Administration of pneumococcal vaccine	82	82	$106.16	$37.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	65	65	$915.00	$278.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	39	$66.00	$65.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$748.00	$261.99
0124A Fee covid-19 vac 13 res	24	24	$175.00	$49.39
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$107.00	$17.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$641.00	$198.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$203.00	$201.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	14	11	$52.00	$51.23
69209 Removal of impacted ear wax by washing	12	12	$70.00	$22.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$436.00	$132.50
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$204.00	$200.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	441	283	$417.00	$158.97
99213 Established patient office or other outpatient visit, typically 15 minutes	256	201	$311.00	$112.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$457.00	$162.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	46	$509.00	$220.90
G0008 Administration of influenza virus vaccine	46	46	$72.00	$21.89
90662 Influenza vaccine split virus, preservative free	42	42	$205.00	$65.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	26	$218.00	$66.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$444.00	$137.60
G0009 Administration of pneumococcal vaccine	27	27	$72.00	$21.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$641.00	$203.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$748.00	$267.87
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$106.00	$18.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$403.00	$124.86
69209 Removal of impacted ear wax by washing	12	12	$70.00	$22.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	253	$330.00	$92.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	142	$443.00	$132.98
99442 Telephone medical discussion with physician, 11-20 minutes	162	130	$98.00	$92.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$486.00	$143.80
G0008 Administration of influenza virus vaccine	84	80	$70.00	$20.88
90662 Influenza vaccine split virus, preservative free	81	77	$185.00	$60.23
99443 Telephone medical discussion with physician, 21-30 minutes	54	51	$144.00	$133.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	34	$309.00	$66.14
G0009 Administration of pneumococcal vaccine	42	42	$70.00	$20.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$396.00	$117.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$541.00	$177.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$472.00	$132.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$681.00	$198.74
90670 Pneumococcal vaccine for injection into muscle	15	15	$746.00	$218.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$795.00	$250.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$204.00	$55.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$545.00	$204.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	246	$420.81	$131.04
99213 Established patient office or other outpatient visit, typically 15 minutes	390	261	$316.69	$89.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$432.48	$141.70
G0009 Administration of pneumococcal vaccine	102	102	$70.66	$20.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	11	$102.64	$20.90
G0008 Administration of influenza virus vaccine	77	77	$70.10	$20.51
90662 Influenza vaccine split virus, preservative free	75	75	$183.13	$54.65
90670 Pneumococcal vaccine for injection into muscle	71	71	$674.89	$208.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	27	$238.11	$64.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$520.42	$174.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$362.97	$111.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$645.31	$194.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$752.45	$243.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$487.40	$199.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$630.00	$206.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	509	279	$381.04	$128.26
99213 Established patient office or other outpatient visit, typically 15 minutes	445	280	$276.26	$87.36
G0008 Administration of influenza virus vaccine	134	129	$71.00	$25.73
90662 Influenza vaccine split virus, preservative free	133	128	$159.96	$52.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$402.00	$140.37
G0009 Administration of pneumococcal vaccine	71	71	$71.00	$25.73
90670 Pneumococcal vaccine for injection into muscle	40	40	$584.52	$200.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$588.00	$192.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$297.55	$105.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	25	$193.00	$64.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$485.77	$171.80
93000 Routine ekg using at least 12 leads including interpretation and report	25	23	$109.24	$20.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$692.76	$240.91
69210 Removal of impacted ear wax	13	13	$192.00	$57.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	647	331	$345.88	$127.35
99213 Established patient office or other outpatient visit, typically 15 minutes	258	196	$254.79	$86.95
G0008 Administration of influenza virus vaccine	115	112	$71.00	$32.29
90662 Influenza vaccine split virus, preservative free	114	111	$98.00	$47.83
G0009 Administration of pneumococcal vaccine	63	63	$71.00	$32.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$384.12	$138.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$531.02	$191.39
90670 Pneumococcal vaccine for injection into muscle	39	39	$500.00	$186.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	26	$193.00	$64.62
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$243.00	$96.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$444.57	$164.24

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA 20A6210

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License CA 20A6210

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00AX62100 (CA)

Hospital & Practice Group Affiliations

University Healthcare Alliance

2410 Samaritan Dr, San Jose, CA 951243909

Phone: 4083719010

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Howard Fitzhugh , MD

Family Medicine

NPI 1720198732

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 March 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2016

Registered at 227 N JACKSON AVE, SAN JOSE, CA 951161603 (Tel: 4083472002)

📍

Updated Business Mailing Address March 09, 2016

Registered at 400 RACE ST, SAN JOSE, CA 951263518 (Tel: 4082783121)

👤

Provider Name / Credentials Updated March 09, 2016

Recorded as JACK ACKERMAN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2016

Internal Medicine (License #20A6210 in CA)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1780794107

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: March 09, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Race St

San Jose, CA 951263518

Phone: 4082783121

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.