Jack Nussbaum, MD
NPI 1346242690 · Family Medicine Physician · Lake Ronkonkoma, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Nussbaum, MD is a Family Medicine Physician provider in Lake Ronkonkoma, NY (NPI 1346242690).
Provider details
- NPI number
- 1346242690
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 165161 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
21 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
4,062 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 820 | $104 |
| Urinalysis, Manual Test81002 | 809 | $3 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 784 | $9 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 513 | $13 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 290 | $18 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 106 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 357 | 117 |
| Metoprolol Succinate | 349 | 109 |
| Rosuvastatin Calcium | 327 | 110 |
| Amlodipine Besylate | 214 | 72 |
| Levothyroxine Sodium | 213 | 63 |
| Pantoprazole Sodium | 153 | 56 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,429 across 69 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
- 2005-06-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Nussbaum's NPI number?
- Jack Nussbaum's National Provider Identifier (NPI) is 1346242690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Nussbaum's specialty?
- Jack Nussbaum is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Nussbaum located?
- Jack Nussbaum's practice location on file with NPPES is 388 Hawkins Ave, Lake Ronkonkoma, NY 11779-4280.
- What is Jack Nussbaum's phone number?
- The practice phone number listed in the NPPES registry for Jack Nussbaum is (631) 588-8460.
- Does Jack Nussbaum accept Medicare?
- Jack Nussbaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Nussbaum's NPI active?
- Yes — Jack Nussbaum's NPI (1346242690) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.