Doctor profile · Federal record
Dr. Hayden Jack, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Fort Worth, TX
- NPI 1093795338
- MIPS 93.7 / 100 · 2023
- 31 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
815 Pennsylvania Ave
Fort Worth, TX 761042224
(817) 321-0387
fax (469) 522-6889 - Mailing address
-
816 W Cannon St
Fort Worth, TX 761043146
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- April 28, 2017
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Texas #M8054 · Virginia #0101054381 · Florida #ME 113022
- Medicaid (3)
- TX #121715004 · TX #121715008 · TX #285250101
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093795338. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
620
Distinct HCPCS
10
Medicare allowed
$6,444
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 310 | 224 | $9 | |
74018 |
X-ray of abdomen, 1 view | 66 | 56 | $9 | |
71046 |
X-ray of chest, 2 views | 56 | 55 | $10 | |
73030 |
X-ray of shoulder, minimum of 2 views | 31 | 26 | $9 | |
73562 |
X-ray of knee, 3 views | 26 | 18 | $9 | |
73630 |
X-ray of foot, minimum of 3 views | 25 | 24 | $8 | |
73502 |
X-ray of hip, 2-3 views | 21 | 18 | $11 | |
73552 |
X-ray of thigh bone, minimum 2 views | 21 | 16 | $9 | |
73610 |
X-ray of ankle, minimum of 3 views | 20 | 18 | $8 | |
73590 |
X-ray of lower leg, 2 views | 17 | 14 | $8 |
In context: peer comparison
Among 91 peers in Fort Worth Diagnostic Radiology Physician, average services per provider: 88. This provider delivers 7.0× the peer median.Frequently asked questions
What is Dr. Hayden Jack's medical specialty?
Dr. Hayden Jack practices Diagnostic Radiology Physician in Fort Worth, TX.
Where does Dr. Hayden Jack practice?
Dr. Hayden Jack practices at 815 Pennsylvania Ave, Fort Worth, TX 761042224. Office phone: 8173210387.
What is Dr. Hayden Jack's NPI?
Dr. Hayden Jack's National Provider Identifier (NPI) is 1093795338, issued by NPPES.
Does Dr. Hayden Jack accept Medicare assignment?
Dr. Hayden Jack does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Hayden Jack commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); X-ray of abdomen, 1 view (HCPCS 74018); X-ray of chest, 2 views (HCPCS 71046). Source: CMS Medicare Physician & Other Practitioners file.