Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Michael Jack , DPM

Podiatrist • Kent, OH

Active NPI 1780080812 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1930 State Route 59
Kent, OH 442404112

Call 3306733505 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1930 State Route 59

Kent, OH 442404112

Telephone 3306733505
Fax 3306734888
Organization at the Same NPPES Address or Phone
Wrsc Acquisition Group, Llc Facility NPI 1629053608

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Alliance, OH; Barberton, OH; Fairlawn, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: United Podiatry Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Kent State University College Of Podiatric Medicine

Graduation Year

2014

Medicare patients

237 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $49,049 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $35,865 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

100 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,123 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $363.89 across 20 records.

By nature of payment

  • Food and Beverage: $363.89 across 20 records.

Reporting-company totals (3 largest of 8)

  • Organogenesis Inc.: $180.67 across 12 records.
  • Patriot Medical Distributors: $45.57 across 2 records.
  • PolyNovo North America LLC: $41.60 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Jack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Jack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kent and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Podiatrist in Ohio (2024, 345 clinicians with data). Median for this group: 1,257. Middle half: 737 to 2,053.

Too few clinicians listed under Podiatrist in Kent have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Podiatrist in Ohio (2024, 345 clinicians with data). Median for this group: $71,990. Middle half: $41,716 to $107,978.

Too few clinicians listed under Podiatrist in Kent have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Podiatrist in Ohio (2024, 345 clinicians with data). Median for this group: $51,260. Middle half: $29,939 to $76,102.

Too few clinicians listed under Podiatrist in Kent have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Podiatrist in Ohio (2024, 296 clinicians with data). Median for this group: 156. Middle half: 58 to 307.

Too few clinicians listed under Podiatrist in Kent have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Podiatrist in Ohio (2024, 296 clinicians with data). Median for this group: $2,126. Middle half: $713 to $4,626.

Too few clinicians listed under Podiatrist in Kent have Medicare Part D data for 2024 to compare.

4 active clinicians are listed under Podiatrist with a practice address in Kent, OH (543 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 20 records totaling $363.89.

Manufacturer Payment Nature Product Type Amount ($)
PolyNovo North America LLC
Food and Beverage
In-kind items and services
NOVOSORB BTM General $41.60
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $37.75
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $30.01
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $25.88
Patriot Medical Distributors
Food and Beverage
In-kind items and services
LYMPHA PRESS OPTIMAL PLUS(US) BT General $24.22
Paratek Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
NUZYRA General $23.95
Organogenesis Inc.
Food and Beverage
In-kind items and services
CYGNUS DUAL General $22.59
Organogenesis Inc.
Food and Beverage
In-kind items and services
APLIGRAF General $22.31
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
COLLAGENASE SANTYL General $21.80
Patriot Medical Distributors
Food and Beverage
In-kind items and services
LYMPHA PRESS OPTIMAL PLUS(US) BT General $21.35
HARTMANN USA, INC.
Food and Beverage
In-kind items and services
ZETUVIT PLUS 10X10 P10 General $17.53
Integra LifeSciences Corporation
Food and Beverage
In-kind items and services
TCC-EZ General $16.89
Tactile Systems Technology Inc
Food and Beverage
In-kind items and services
Flexitouch Plus General $15.88
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $7.53
Organogenesis Inc.
Food and Beverage
In-kind items and services
APLIGRAF General $6.55
Organogenesis Inc.
Food and Beverage
In-kind items and services
APLIGRAF General $6.14
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $5.98
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $5.90
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $5.23
Organogenesis Inc.
Food and Beverage
In-kind items and services
PURAPLY WOUND MATRIX General $4.80

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
351 135 $68.72 $41.61
11042 Removal of skin and tissue, 20.0 sq cm or less
290 55 $201.69 $57.18
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
63 43 $141.73 $85.54
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
61 23 $64.48 $24.15
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
48 32 $141.73 $62.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
33 33 $175.72 $105.15
11056 Removal of noncancer thickened skin growth, 2-4 growths
30 16 $127.66 $75.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $175.72 $77.93

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gentamicin Sulfate Gentamicin Sulfate 27 362 $1,239.05 20
Mupirocin Mupirocin 20 379 $149.39 19
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 20 194 $151.73 19
Ciclopirox Ciclopirox 19 555 $391.57 11
Ketoconazole Ketoconazole 13 375 $191.44 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-20
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

License # reported to NPPES OH 36.003804

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PODIATRY

Medicare Enrollment ID

I20170605001628

Enrollment State Jurisdiction

OH

PECOS Control ID

5395012868

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

United Podiatry Inc

1930 State Route 59, Kent, OH 442404112

Phone: 3306733505

Secondary Practice Locations

200 E State St, Medical Education-Podiatry Resident

Alliance, OH 446014936

Phone: 3305966000

201 5th St Ne Ste 5

Barberton, OH 442033017

Phone: 3308648501

2950 W Market St

Fairlawn, OH 443333614

Phone: 3308648501

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Jeffrey Fesler , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1194154104

Doctor of Podiatric Medicine

Dr. Rodney Scott , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1336570480

Doctor of Podiatric Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
📍
Updated Practice Location August 20, 2020

Registered at 1930 STATE ROUTE 59, KENT, OH 442404112 (Tel: 3306733505)

📍
Updated Business Mailing Address August 06, 2020

Registered at 1930 STATE ROUTE 59, KENT, OH 442404112 (Tel: 3305966000)

✅
NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 20, 2017

Registered at 365 RIFFEL RD, STE A, WOOSTER, OH 446918592 (Tel: 3305966000)

📍
Updated Practice Location April 20, 2017

Registered at 200 E STATE ST, MEDICAL EDUCATION-PODIATRY RESIDENT, ALLIANCE, OH 446014936 (Tel: 3305966000)

👤
Provider Name / Credentials Updated April 20, 2017

Recorded as MICHAEL JACK, D.P.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Podiatrist (license number reported to NPPES: OH 36.003804)

✅
NPI Profile Active November 18, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 18, 2014

Registered at 200 E STATE ST, MEDICAL EDUCATION-PODIATRY RESIDENT, ALLIANCE, OH 446014936 (Tel: 3305966000)

📍
Business Mailing Address (Initial Record) November 18, 2014

Registered at 200 E STATE ST, MEDICAL EDUCATION-PODIATRY RESIDENT, ALLIANCE, OH 446014936 (Tel: 3305966000)

👤
Provider Name / Credentials (Initial Record) November 18, 2014

Recorded as MICHAEL JACK, D.P.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2014

Podiatrist (license number reported to NPPES: OH 59.000519)

🟢
Initial NPI Registration & Enumeration November 18, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780080812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2014
Last Update: August 20, 2020
Sole Proprietor: No

Other Podiatrists in Kent

Healthcare providers in Kent

Mailing Address

1930 State Route 59

Kent, OH 442404112

Phone: 3305966000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.