Doctor profile · Federal record

Dr. Jack Jorgenson, MD

Family Medicine Physician (CMS: Family Practice) · Shoreline, WA

  • NPI 1922503168
  • Accepts Medicare
  • MIPS 80.9 / 100 · 2023
  • 8 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
604 Nw Richmond Beach RD
Shoreline, WA 981773122
(206) 533-2900
fax (206) 533-2901
Mailing address
Po Box 25608
Salt Lake City, UT 841250608

Credentials & registration

NPPES · NUCC
NPI registered
March 2018 — 8 yrs on file
Profile last updated
February 24, 2026
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Washington #MD70005153
Medicaid
WA #2349648

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1922503168. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
340
Distinct HCPCS
8
Medicare allowed
$35,915
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 157 83 $121
99213 Established patient office or other outpatient visit, 20-29 minutes 49 40 $86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 46 46 $125
36415 Insertion of needle into vein for collection of blood sample 28 26 $8
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 18 18 $283
G0009 Administration of pneumococcal vaccine 17 17 $29
G0008 Administration of influenza virus vaccine 14 14 $29
90662 Influenza vaccine split virus, preservative free 11 11 $72

In context: peer comparison

Among 11 peers in Shoreline Family Medicine Physician, average services per provider: 55. This provider delivers 6.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,466
Patients
498
Total drug cost
$97,568
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 274 93 $5,334
Losartan Potassium Generic 120 48 $1,825
Lisinopril Generic 118 39 $1,434
Amlodipine Besylate Generic 109 41 $1,359
Levothyroxine Sodium Generic 98 30 $1,972
Hydrochlorothiazide Generic 91 35 $550
Metformin Hcl Generic 84 28 $1,202
Rosuvastatin Calcium Generic 83 32 $1,472
Metoprolol Succinate Generic 81 33 $2,567
Gabapentin Generic 76 19 $1,198

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jack Jorgenson's medical specialty?
Dr. Jack Jorgenson practices Family Medicine Physician in Shoreline, WA.
Where does Dr. Jack Jorgenson practice?
Dr. Jack Jorgenson practices at 604 Nw Richmond Beach RD, Shoreline, WA 981773122. Office phone: 2065332900.
What is Dr. Jack Jorgenson's NPI?
Dr. Jack Jorgenson's National Provider Identifier (NPI) is 1922503168, issued by NPPES.
Does Dr. Jack Jorgenson accept Medicare assignment?
Yes. Dr. Jack Jorgenson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Jorgenson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.