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David Jacks

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NPI Number Detailed Information

Provider Information:

Name: David Jacks
Gender: M
Provider License Number If Given: C5066

NPI Information:

NPI: 1093735110
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/20/2006

Last Update Date: 4/5/2022

Reputation Report:

Provider Business Mailing Address:

Address: 4303 S MULBERRY ST
Pine Bluff, AR 71603
Phone Number: 8705354221
Fax Number: 8705354228

Provider Business Practice Location Address:

Address: 4303 S MULBERRY ST
Pine Bluff, AR 71603
Phone Number: 8705354221
Fax Number: 8705354228

Provider Taxonomy:

Primary: 208800000X
Secondary (if any):
State: AR

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About David Jacks

David Jacks ( DAVID JACKS ) is A Urology Physician in Pine Bluff, AR. The NPI Number for David Jacks is 1093735110.
The current location address for David Jacks is 4303 S MULBERRY ST Pine Bluff, AR 71603 and the contact number is 8705354221 and fax number is 8705354228. The mailing address for David Jacks is 4303 S MULBERRY ST Pine Bluff, AR 71603- 8705354221 (mailing address contact number - 8705354221).
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Provider Business Location on Map

FAQs:

What is the NPI Number for David Jacks ?


Answer: The NPI Number for David Jacks is 1093735110

Where is David Jacks located?


Answer: David Jacks is located at 4303 S MULBERRY ST Pine Bluff, AR 71603.

What is the specialty for David Jacks ?


Answer: The Specialty of David Jacks is A Urology Physician.

Are there any online reviews for David Jacks ?


Answer: Yes! Check It Now.

Are there any other health care providers in Pine Bluff, AR?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by David Jacks

Number of HCPCS 79
Number of Medicare Beneficiaries 1020
Number of Services 7142
Total Submitted Charge Amount 1007674
Total Medicare Allowed Amount 300918.34
Total Medicare Payment Amount 230610.21
Total Medicare Standardized Payment Amount 251960.39
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 79
Number of Medicare Beneficiaries With Medical 1020
Number of Medical Services 7142
Total Medical Submitted Charge Amount 1007674
Total Medical Medicare Allowed Amount 300918.34
Total Medical Medicare Payment Amount 230610.21
Total Medical Medicare Standardized Payment Amount 251960.39
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 71
Number of Beneficiaries Age 65 to 74 433
Number of Beneficiaries Age 75 to 84 382
Number of Beneficiaries Age Greater 84 134
Number of Female Beneficiaries 219
Number of Male Beneficiaries 801
Number of Non-Hispanic White Beneficiaries 739
Number of Black or African American Beneficiaries 255
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 109
Number of Beneficiaries With Medicare Only Entitlement 911
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.11
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.23
Percent (%) of Beneficiaries Identified With Heart Failure 0.24
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.39
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.36
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.53
Percent (%) of Beneficiaries Identified With Osteoporosis 0.03
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.1658

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Urology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 4281
Number of Standardized 30-Day Fills 8093.2333333
Aggregate Cost Paid for All Claims 173082.85
Number of Day's Supply for All Claims 233185
Number of Medicare Beneficiaries 911
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3853
Including Refills, for Beneficiaries Age 65+ 7416.7333333
Beneficiaries Age 65+ 145870.07
Number of Day's Supply for All Claims for Beneficaries Age 65+ 214257
Number of Medicare Beneficiaries Age 65+ 810
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 148
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 4133
Aggregate Cost Paid for Generic Drugs 116266.49
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1521
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 60869.66
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2760
Aggregate Cost Paid for Claims Filled by 112213.19
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1130
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 59173.7
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3151
by Low-Income Subsidy 113909.15
Total Claims of Opioid Drugs, Including 42
Aggregate Cost Paid for Opioid Drugs 163.47
Opioid Claims 36
Opioid_Tot_Clms divided by the Tot_Clms 0.9810791871
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 1223
Aggregate Cost Paid for Antibiotic Drugs 29415.85
Antibiotic Claims 465
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 73.169045005
Number of Beneficiaries Age Less Than 65 101
Number of Beneficiaries Age 65 to 74 402
Number of Beneficiaries Age 75 to 84 324
Number of Female Beneficiaries 170
Number of Male Beneficiaries 741
Number of Non-Hispanic White 556
Number of Black or African American 336
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 12
Only Entitlement 712
Average Hierarchical Condition Category 1.2855849432

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