National Provider Identifier
Omar Dwayne Jack, DO, PA-C
Omar Dwayne Jack, DO, PA-C is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 829-6108.
Source: public NPPES record, last updated March 26, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1144662909
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- July 22, 2013
- Last Updated
- March 26, 2024
Practice Location
- 77 Goodell St Ste 550
- Buffalo, NY 14203-1258
Phone: (716) 829-6108
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
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Medicare Part B Activity
Reported 11 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Student in an Organized Health Care Education/Training Program providers in the Buffalo, NY metro area.
This provider is in the 0th percentile for Medicare service volume.
Lower volume than many peers.
Performs 97% fewer Medicare services than the peer median.
Higher than 0 of 17 peers.
- Activity Percentile
- 0.0%
- Rank by Services
- 17 of 17
- Total Services
- 11
- Est. Allowed Value
- $748.00
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Student in an Organized Health Care Education/Training Program across the Buffalo, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 11 to 2,624 total Medicare services.
Top Clinical Services
- 99221: Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
11 services | $748.00
Full Record
- NPI
- 1144662909
- Entity Type
- Individual
- Last Name
- Jack
- First Name
- Omar
- Middle Name
- Dwayne
- Credential
- DO, PA-C
- Mailing Street Address
- 77 Goodell St Ste 550
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1258
- Mailing Country
- US
- Mailing Phone
- (716) 829-6108
- Practice Street Address
- 77 Goodell St Ste 550
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1258
- Practice Country
- US
- Practice Phone
- (716) 829-6108
- Enumeration Date
- July 22, 2013
- Last Updated
- March 26, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)