Doctor profile · Federal record
Dr. Omar Jack, DO, PA-C
Student in an Organized Health Care Education/Training Program · Physician Assistant · Medical Physician Assistant · Buffalo, NY
- NPI 1144662909
- MIPS 77.5 / 100 · 2023
- 13 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
77 Goodell St Ste 550
Buffalo, NY 142031258
(716) 829-6108
Credentials & registration
- NPI registered
- July 2013 — 13 yrs on file
- Profile last updated
- March 26, 2024
- Specialty taxonomy
- 390200000X — NUCC code
- State licenses (2)
- Georgia #1109724 · Pennsylvania #MA062538
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144662909. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
11
Distinct HCPCS
1
Medicare allowed
$748
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 11 | 11 | $68 |
In context: peer comparison
Among 7 peers in Buffalo Student in an Organized Health Care Education/Training Program, average services per provider: 120. This provider delivers 0.1× the peer median.Frequently asked questions
What is Dr. Omar Jack's medical specialty?
Dr. Omar Jack practices Student in an Organized Health Care Education/Training Program in Buffalo, NY.
Where does Dr. Omar Jack practice?
Dr. Omar Jack practices at 77 Goodell St Ste 550, Buffalo, NY 142031258. Office phone: 7168296108.
What is Dr. Omar Jack's NPI?
Dr. Omar Jack's National Provider Identifier (NPI) is 1144662909, issued by NPPES.
What procedures does Dr. Omar Jack commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.