Mark Jacknin, D.O.
NPI 1033179338 · Family Medicine Physician · New York, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Jacknin, D.O. is a Family Medicine Physician provider in New York, NY (NPI 1033179338).
Provider details
- NPI number
- 1033179338
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 230171 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
117 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 57 | $64 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 21 | $81 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 20 | $144 |
| Hemoglobin A1c Level83036 | 19 | $10 |
Typical Medicare-allowed amounts for these services range $10–$144 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 210 | 82 |
| Amlodipine Besylate | 109 | 45 |
| Metformin Hcl | 87 | 33 |
| Fluticasone Propionate | 82 | 38 |
| Lisinopril | 76 | 25 |
| Gabapentin | 64 | 23 |
| Omeprazole | 62 |
Practice location
Mailing address
Additional practice locations (1)
- 77 BoulevardPassaic, NJ 07055-4705Phone: (917) 603-8862Fax: (718) 504-7521
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Mark Jacknin's NPI number?
- Mark Jacknin's National Provider Identifier (NPI) is 1033179338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Jacknin's specialty?
- Mark Jacknin is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Jacknin located?
- Mark Jacknin's practice location on file with NPPES is 4405 Broadway, New York, NY 10040-4014.
- What is Mark Jacknin's phone number?
- The practice phone number listed in the NPPES registry for Mark Jacknin is (212) 740-2020.
- Does Mark Jacknin accept Medicare?
- Mark Jacknin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Jacknin's NPI active?
- Yes — Mark Jacknin's NPI (1033179338) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.