Active NPI 1780080812 Individual Practitioner Male Practitioner

Dr. Michael Jack , DPM

Podiatrist • Kent, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Jack, DPM is a certified Podiatrist practicing in Kent, OH. With approximately 12 years of clinical experience since graduating from Kent State University College Of Podiatric Medicine in 2014, Dr. Jack delivers high-quality medical care to the local community at 1930 STATE ROUTE 59.

Dr. Jack is affiliated with United Podiatry Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1930 State Route 59

Kent, OH 442404112

Telephone 3306733505

Fax 3306734888

Associated Practice Facility / Clinic

🏢 Wrsc Acquisition Group, Llc Facility NPI 1629053608

Medicare Profile & Education

Medical School

Kent State University College Of Podiatric Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Kent, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -8.7 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Kent, OH (595 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jack (12 Years) 12 Yrs

Kent Specialty Average (20.7 Years) 20.7 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
11721 Removal of fingernails or toenails, 6 or more nails	351	135	$68.72	$41.61
11042 Removal of skin and tissue, 20.0 sq cm or less	290	55	$201.69	$57.18
99213 Established patient office or other outpatient visit, typically 15 minutes	63	43	$141.73	$85.54
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	61	23	$64.48	$24.15
99213 Established patient office or other outpatient visit, typically 15 minutes	48	32	$141.73	$62.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$175.72	$105.15
11056 Removal of noncancer thickened skin growth, 2-4 growths	30	16	$127.66	$75.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$175.72	$77.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	314	63	$201.69	$56.67
11721 Removal of fingernails or toenails, 6 or more nails	305	128	$68.72	$42.03
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	109	21	$64.48	$24.69
99213 Established patient office or other outpatient visit, typically 15 minutes	58	39	$141.73	$62.37
99213 Established patient office or other outpatient visit, typically 15 minutes	57	43	$141.73	$83.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$175.72	$106.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$175.72	$72.44
11056 Removal of noncancer thickened skin growth, 2-4 growths	14	11	$127.66	$76.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	318	31	$64.64	$26.14
11042 Removal of skin and tissue, 20.0 sq cm or less	310	70	$196.59	$58.01
11721 Removal of fingernails or toenails, 6 or more nails	285	109	$66.99	$42.51
99213 Established patient office or other outpatient visit, typically 15 minutes	56	35	$138.44	$65.35
99213 Established patient office or other outpatient visit, typically 15 minutes	56	43	$137.62	$86.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$172.08	$80.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$170.21	$106.24
11056 Removal of noncancer thickened skin growth, 2-4 growths	25	17	$123.57	$78.85
11042 Removal of skin and tissue, 20.0 sq cm or less	22	11	$194.16	$117.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	262	13	$61.01	$26.62
11721 Removal of fingernails or toenails, 6 or more nails	245	104	$65.42	$43.31
11042 Removal of skin and tissue, 20.0 sq cm or less	120	38	$188.99	$59.49
99213 Established patient office or other outpatient visit, typically 15 minutes	74	50	$129.48	$89.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$163.48	$107.97
11042 Removal of skin and tissue, 20.0 sq cm or less	37	11	$188.95	$122.47
99324 New patient assisted living visit, typically 20 minutes	17	17	$83.61	$52.76
11056 Removal of noncancer thickened skin growth, 2-4 growths	13	11	$114.57	$76.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	240	201	$70.20	$44.23
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$112.55	$72.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$166.00	$104.55
11720 Removal of fingernails or toenails, 1-5 nails	15	13	$50.00	$31.60
11056 Removal of noncancer thickened skin growth, 2-4 growths	15	14	$106.32	$70.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	771	224	$70.00	$43.65
99213 Established patient office or other outpatient visit, typically 15 minutes	123	58	$110.00	$70.50
11042 Removal of skin and tissue, 20.0 sq cm or less	109	20	$179.91	$60.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$165.00	$103.89
11720 Removal of fingernails or toenails, 1-5 nails	75	25	$50.00	$31.61
73630 X-ray of foot, minimum of 3 views	42	28	$65.00	$29.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$70.00	$42.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11056 Removal of noncancer thickened skin growth, 2-4 growths	35	19	$85.00	$55.98
11721 Removal of fingernails or toenails, 6 or more nails	32	22	$70.00	$43.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11056 Removal of noncancer thickened skin growth, 2-4 growths	23	20	$85.00	$55.03

Medical Specialties & State Licenses

CMS Verified: 2020-08-20

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36.003804

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Hospital & Practice Group Affiliations

United Podiatry Inc

1930 State Route 59, Kent, OH 442404112

Phone: 3306733505

Secondary Practice Locations

200 E State St, Medical Education-Podiatry Resident

Alliance, OH 446014936

Phone: 3305966000

201 5th St Ne Ste 5

Barberton, OH 442033017

Phone: 3308648501

2950 W Market St

Fairlawn, OH 443333614

Phone: 3308648501

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Jeffrey Fesler , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1194154104

Doctor of Podiatric Medicine

Dr. Rodney Scott , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1336570480

Doctor of Podiatric Medicine

Dr. James Benedict , DPM

Podiatrist

NPI 1639160666

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 20, 2020

Registered at 1930 STATE ROUTE 59, KENT, OH 442404112 (Tel: 3306733505)

📍

Updated Business Mailing Address August 06, 2020

Registered at 1930 STATE ROUTE 59, KENT, OH 442404112 (Tel: 3305966000)

✅

NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 20, 2017

Registered at 365 RIFFEL RD, STE A, WOOSTER, OH 446918592 (Tel: 3305966000)

📍

Updated Practice Location April 20, 2017

Registered at 200 E STATE ST, MEDICAL EDUCATION-PODIATRY RESIDENT, ALLIANCE, OH 446014936 (Tel: 3305966000)

👤

Provider Name / Credentials Updated April 20, 2017

Recorded as MICHAEL JACK, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Podiatrist (License #36.003804 in OH)

✅

NPI Profile Active November 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2014

Registered at 200 E STATE ST, MEDICAL EDUCATION-PODIATRY RESIDENT, ALLIANCE, OH 446014936 (Tel: 3305966000)

📍

Updated Business Mailing Address November 18, 2014

Registered at 200 E STATE ST, MEDICAL EDUCATION-PODIATRY RESIDENT, ALLIANCE, OH 446014936 (Tel: 3305966000)

👤

Provider Name / Credentials Updated November 18, 2014

Recorded as MICHAEL JACK, D.P.M.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2014

Podiatrist (License #59.000519 in OH)

🟢

Initial NPI Registration & Enumeration November 18, 2014

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: 1780080812

Entity Type:

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

Enumeration Date: November 18, 2014

Last Update: August 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1930 State Route 59

Kent, OH 442404112

Phone: 3305966000

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.