Samuel Jacks, MD
NPI 1184828030 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Winston Salem, NC
Enrolled with Medicare as Practitioner - Thoracic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Jacks, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider in Winston Salem, NC (NPI 1184828030).
Provider details
- NPI number
- 1184828030
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2015-01953 (NC)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 2015-01953 (NC)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
130 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 37 | $206 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 25 | $158 |
| Harvest of Vein Using an Endoscope33508 | 18 | $14 |
| Coronary Artery Bypass Using Artery Graft, 1 Graft33533 | 17 | $1,624 |
| Exam of Lung With Removal of Lung Lobe Using an Endoscope32663 | 11 | $1,262 |
| Removal of Lymph Nodes of Chest Cavity Using an Endoscope32674 | 11 | $192 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$202 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2020-10-25
- Certified
- 2020-09-06
Frequently asked questions
- What is Samuel Jacks's NPI number?
- Samuel Jacks's National Provider Identifier (NPI) is 1184828030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Jacks's specialty?
- Samuel Jacks is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Jacks located?
- Samuel Jacks's practice location on file with NPPES is 4622 Country Club Rd, Winston Salem, NC 27104-3769.
- What is Samuel Jacks's phone number?
- The practice phone number listed in the NPPES registry for Samuel Jacks is (336) 768-9535.
- Does Samuel Jacks accept Medicare?
- Samuel Jacks is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Jacks's NPI active?
- Yes — Samuel Jacks's NPI (1184828030) is active in the NPPES registry as of the last update on 2020-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.