Doctor profile · Federal record
Dr. Momodu Jack, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Gastroenterology Physician · Gastroenterology Physician · Washington, DC
- NPI 1164521019
- Accepts Medicare
- 41 yrs in practice
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2139 Georgia Ave Nw, Suite 3A
Washington, DC 200013035
(202) 865-7981
fax (301) 621-5313 - Additional location
-
541 Sunset Ln Ste 301
Culpeper, VA 227013979
(540) 825-4557
fax (540) 825-4566 - Mailing address
-
Po Box 2325
Columbia, MD 210451325
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- November 6, 2020
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (3)
- District of Columbia #MD20286 · Maryland #D0044035 · Virginia #0101270422
- Medicaid (2)
- MD #174961700 · DC #018868500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164521019. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
193
Distinct HCPCS
8
Medicare allowed
$33,513
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 48 | 48 | $187 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 43 | 39 | $143 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 32 | 31 | $119 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 21 | 20 | $278 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 14 | 14 | $203 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 13 | 13 | $200 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | 11 | $97 | |
G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 11 | 11 | $202 |
In context: peer comparison
Among 24 peers in Washington Gastroenterology Physician, average services per provider: 72. This provider delivers 2.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
204
Patients
183
Total drug cost
$3,913
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 75 | 74 | $1,524 |
| Gavilyte-C (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 49 | 48 | $780 |
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 26 | 26 | $501 |
| Omeprazole | Generic | 26 | 20 | $530 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 15 | 15 | $290 |
| Famotidine | Generic | 13 | 0 | $289 |
Frequently asked questions
What is Dr. Momodu Jack's medical specialty?
Dr. Momodu Jack practices Gastroenterology Physician in Washington, DC.
Where does Dr. Momodu Jack practice?
Dr. Momodu Jack practices at 2139 Georgia Ave Nw, Washington, DC 200013035. Office phone: 2028657981.
What is Dr. Momodu Jack's NPI?
Dr. Momodu Jack's National Provider Identifier (NPI) is 1164521019, issued by NPPES.
Does Dr. Momodu Jack accept Medicare assignment?
Yes. Dr. Momodu Jack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Momodu Jack commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99214); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.