Active NPI 1245550433 Individual Practitioner Female Practitioner

Samara Ja'nel Jack , PA-C

Physician Assistant • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Samara Jack, PA-C is a registered healthcare professional specializing in Physician Assistant in Tulsa, OK. Practice services are available at 7858 S OLYMPIA AVE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, 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

7858 S Olympia Ave

Tulsa, OK 741321857

Telephone 9189869200

Fax 9189869205

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.9 Yrs

State Avg: 14.2 Yrs

Regional Practice Density

400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.6% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	30	$465.61	$58.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$691.68	$83.69
99239 Hospital discharge day management, more than 30 minutes	11	11	$678.45	$85.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$150.00	$61.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$140.82	$60.29
99495 Transitional care management services for problem of at least moderate complexity	22	22	$338.00	$91.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	121	$138.88	$58.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	83	$205.07	$87.04
71046 X-ray of chest, 2 views	30	26	$39.87	$17.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$52.00	$16.18
G0008 Administration of influenza virus vaccine	12	12	$41.00	$18.90
90662 Influenza vaccine split virus, preservative free	11	11	$65.00	$51.14

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	79	75	$216.95	$84.53
99213 Established patient office or other outpatient visit, typically 15 minutes	64	61	$145.53	$58.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$223.00	$86.25
81003 Automated urinalysis test	33	33	$7.00	$2.93
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$57.00	$12.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$342.00	$124.80
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$31.00	$9.65
80047 Blood test, basic group of blood chemicals (calcium, ionized)	13	13	$50.00	$10.50
71020 X-ray of chest, 2 views, front and side	13	13	$40.00	$13.85
G0008 Administration of influenza virus vaccine	12	12	$41.00	$23.05
36415 Insertion of needle into vein for collection of blood sample	12	12	$7.00	$2.69
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$154.00	$59.83

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1919

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

1705 E 19th St Ste 302

Tulsa, OK 741045410

Phone: 9187487585

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Misty Woodard , MD

Pediatrics

NPI 1003133026

Doctor of Medicine (M.D.)

Hayley Sewell , PA-C

Physician Assistant

NPI 1043757230

Physician Assistant (Certified)

William Bowen

Emergency Medicine

NPI 1235146713

Amanda Six , PA-C

Physician Assistant

NPI 1275072399

Physician Assistant (Certified)

Stephanie Byrd , APRN

Nurse Practitioner - Family

NPI 1275551210

Advanced Practice Registered Nurse

Lesley Pipkins , PA

Physician Assistant

NPI 1417914870

Physician Assistant

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address February 28, 2019

Registered at 1705 E 19TH ST STE 302, TULSA, OK 741045410 (Tel: 9187487585)

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 7858 S OLYMPIA AVE, TULSA, OK 741321857 (Tel: 9189869200)

📍

Updated Business Mailing Address November 09, 2017

Registered at 6600 S YALE AVE STE 1200, TULSA, OK 741363361 (Tel: 9184886687)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as SAMARA JACK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Physician Assistant (License #1919 in OK)

✅

NPI Profile Active July 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2015

Registered at 1717 S UTICA AVE STE A, TULSA, OK 741045346 (Tel: 9187481300)

📍

Updated Business Mailing Address July 17, 2015

Registered at 4848 S 129TH EAST AVE, TULSA, OK 741347001 (Tel: 9188326000)

👤

Provider Name / Credentials Updated July 17, 2015

Recorded as SAMARA JACK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2015

Physician Assistant (License #1919 in OK)

🟢

Initial NPI Registration & Enumeration June 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Samara Jack. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1245550433

Entity Type:

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

Enumeration Date: June 10, 2010

Last Update: February 28, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1705 E 19th St Ste 302

Tulsa, OK 741045410

Phone: 9187487585

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.