Active NPI 1336379403 Individual Practitioner Male Practitioner

Dr. Jack Ronald Tacker , MD

General Practice • Poulsbo, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Tacker, MD is a registered healthcare professional specializing in General Practice in Poulsbo, WA. Practice services are available at 19160 FRONT ST NE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, nursing facility annual assessment. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19160 Front St Ne

Poulsbo, WA 98370

Telephone 3607797500

Fax 3606260600

Associated Practice Facility / Clinic

🏢 Martha And Mary Health Services Facility NPI 1710988753

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Poulsbo, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 30.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Poulsbo, WA (423 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

4.5% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	33	$93.61	$90.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	29	19	$136.51	$134.37
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$105.00	$95.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	251	75	$92.90	$92.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	100	55	$136.62	$136.02
99306 Initial nursing facility visit, typically 45 minutes per day	28	23	$170.54	$167.49
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	18	$132.03	$130.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	286	84	$96.42	$91.71
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	82	50	$142.85	$135.61
99306 Initial nursing facility visit, typically 45 minutes per day	33	33	$178.72	$166.77
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	24	$140.89	$130.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	23	19	$72.26	$69.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	218	85	$97.54	$89.13
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	79	54	$146.73	$132.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	58	37	$72.96	$67.53
99306 Initial nursing facility visit, typically 45 minutes per day	43	41	$179.10	$162.24
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	30	28	$138.07	$126.73
99316 Nursing facility discharge management, more than 30 minutes	20	18	$111.05	$103.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	186	106	$98.60	$90.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	136	125	$140.58	$129.00
99316 Nursing facility discharge management, more than 30 minutes	97	93	$110.78	$104.60
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	93	66	$149.05	$134.49
99306 Initial nursing facility visit, typically 45 minutes per day	73	70	$181.44	$165.07
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	39	39	$100.97	$90.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	31	29	$81.57	$68.49

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WA MD00028053

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

8 Associated Practitioners

Hanna Hoskins

Physical Therapy Assistant

NPI 1194600429

Lisa Patureau

Occupational Therapy Assistant

NPI 1215461025

Marie Maldonado Robert

Occupational Therapist

NPI 1548465438

Eva Geurtsen , PTA

Physical Therapy Assistant

NPI 1568990554

Physical Therapist Assistant

Brittany Hedin , COTA

Occupational Therapy Assistant

NPI 1609351139

Certified Occupational Therapy Assistant

Sarah Weis

Physical Therapy Assistant

NPI 1609711589

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2013

Registered at 19160 FRONT ST NE, POULSBO, WA 98370 (Tel: 3607797500)

📍

Updated Business Mailing Address June 05, 2013

Registered at PO BOX 127, POULSBO, WA 983700127 (Tel: 3607797500)

👤

Provider Name / Credentials Updated June 05, 2013

Recorded as JACK TACKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2013

General Practice (License #MD00028053 in WA)

🟢

Initial NPI Registration & Enumeration July 22, 2009

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: 1336379403

Entity Type:

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

Enumeration Date: July 22, 2009

Last Update: June 05, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 127

Poulsbo, WA 983700127

Phone: 3607797500

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.