Doctor profile · Federal record
Dr. Mark Jacknin, D.O.
Family Medicine Physician (CMS: Family Practice) · New York, NY
- NPI 1033179338
- Accepts Medicare
- 24 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4405 Broadway
New York, NY 100404014
(212) 740-2020
fax (646) 666-0280 - Additional location
-
77 Boulevard
Passaic, NJ 070554705
(917) 603-8862
fax (718) 504-7521 - Mailing address
-
Po Box 746087
Atlanta, GA 303746087
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- September 1, 2023
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #230171
- Medicaid
- NY #02716663
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033179338. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
27
Distinct HCPCS
2
Medicare allowed
$1,970
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 15 | 12 | $65 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 12 | 12 | $83 |
In context: peer comparison
Among 126 peers in this city , average services per provider: 76. This provider delivers 0.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
28
Patients
14
Total drug cost
$188
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 17 | 14 | $148 |
| Amlodipine Besylate | Generic | 11 | 0 | $40 |
Frequently asked questions
What is Dr. Mark Jacknin's medical specialty?
Dr. Mark Jacknin practices Family Medicine Physician in New York, NY.
Where does Dr. Mark Jacknin practice?
Dr. Mark Jacknin practices at 4405 Broadway, New York, NY 100404014. Office phone: 2127402020.
What is Dr. Mark Jacknin's NPI?
Dr. Mark Jacknin's National Provider Identifier (NPI) is 1033179338, issued by NPPES.
Does Dr. Mark Jacknin accept Medicare assignment?
Yes. Dr. Mark Jacknin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Jacknin commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); New patient office or other outpatient visit (HCPCS 99202). Source: CMS Medicare Physician & Other Practitioners file.