Michael Jack, D.P.M.
NPI 1780080812 · Podiatrist · Kent, OH
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Jack, D.P.M. is a Podiatrist provider in Kent, OH (NPI 1780080812).
Provider details
- NPI number
- 1780080812
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 36.003804 (OH)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
905 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) |
|---|---|---|
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 351 | $42 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 290 | $57 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $86 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less11045 | 61 | $24 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 48 | $63 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 33 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gentamicin Sulfate | 27 | 20 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 20 | 19 |
| Mupirocin | 20 | 19 |
| Ciclopirox | 19 | 11 |
| Ketoconazole | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$563 across 43 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
Additional practice locations (3)
- 200 E State StMedical Education-Podiatry ResidentAlliance, OH 44601-4936Phone: (330) 596-6000Fax: (330) 596-7752
- 201 5th St Ne Ste 5Barberton, OH 44203-3017Phone: (330) 864-8501Fax: (330) 864-8508
- 2950 W Market StFairlawn, OH 44333-3614Phone: (330) 864-8501Fax: (330) 864-8508
Registry dates
- Enumerated
- 2014-11-18
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Frequently asked questions
- What is Michael Jack's NPI number?
- Michael Jack's National Provider Identifier (NPI) is 1780080812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Jack's specialty?
- Michael Jack is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Michael Jack located?
- Michael Jack's practice location on file with NPPES is 1930 State Route 59, Kent, OH 44240-4112.
- What is Michael Jack's phone number?
- The practice phone number listed in the NPPES registry for Michael Jack is (330) 673-3505.
- Does Michael Jack accept Medicare?
- Michael Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Jack's NPI active?
- Yes — Michael Jack's NPI (1780080812) is active in the NPPES registry as of the last update on 2020-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.