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Dr. Christopher S Jack , MD

Internal Medicine β€’ Bellevue, WA

Active NPI 1093918641 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

11511 Ne 10th St
Bellevue, WA 980048578

Call 4255023000 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

11511 Ne 10th St

Bellevue, WA 980048578

Telephone 4255023000
Organization at the Same NPPES Address or Phone

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

CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of Washington. 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

University Of Southern California Keck School Of Medicine

Graduation Year

2005

30-day fills

144 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

$3,195 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.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 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

2007

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, β€œDoes 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 Bellevue and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 76 clinicians with data). Median for this group: 1,290. Middle half: 121 to 3,760.

Fewer Part D prescriptions than 75% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: 834. Middle half: 101 to 3,989.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 76 clinicians with data). Median for this group: $46,898. Middle half: $9,241 to $264,171.

A lower Part D drug cost than 70% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: $61,689. Middle half: $2,998 to $293,737.

115 active clinicians are listed under Internal Medicine with a practice address in Bellevue, WA (3,081 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bellevue

35.7% of these 115 clinicians have the CMS telehealth indicator.

66.1% of these 115 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 20 1,680 $233.82 β€”
Pradaxa Dabigatran Etexilate Mesylate 17 510 $2,452.59 β€”
Clopidogrel Clopidogrel Bisulfate 14 843 $197.25 β€”
Metoprolol Succinate Metoprolol Succinate 13 810 $130.93 β€”
Levetiracetam Levetiracetam 13 450 $180.62 β€”

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: 2021-04-19
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES WA MD60001446

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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: Washington State Department of Health Provider Lookup.
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 - HOSPITALIST

Medicare Enrollment ID

I20091201000478

Enrollment State Jurisdiction

WA

PECOS Control ID

9830238039

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) 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

Kaiser Foundation Health Plan Of Washington

201 16th Ave E, Seattle, WA 981125226

Phone: 2063263000

Clinicians Sharing This Practice Address or Phone

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

33 listed
Mon Tristan Atanacio , NP-C

Nurse Practitioner - Family

NPI 1184174492

Nurse Practitioner (Certified)

Bradley Barrett , PA-C

Physician Assistant - Surgical

NPI 1174899785

Physician Assistant (Certified)

Dr. Maureen Berberian , DNP, ACNPC-BC

Nurse Practitioner - Acute Care

NPI 1124281928

Doctor of Nursing Practice, ACNPCBC

NPI 1093749640

Doctor of Medicine (M.D.)

Andy Chien

Dermatology

NPI 1104902956
Laura Flanigan , OTR, L

Occupational Therapist

NPI 1083176010

Occupational Therapist Registered, L

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location April 19, 2021

Registered at 11511 NE 10TH ST, BELLEVUE, WA 980048578 (Tel: 4255023000)

πŸ“
Updated Business Mailing Address April 19, 2021

Registered at 11511 NE 10TH ST, BELLEVUE, WA 980048578 (Tel: 4255023000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2021

Internal Medicine (license number reported to NPPES: WA MD60001446)

βœ…
NPI Profile Active December 19, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 19, 2008

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2065836079)

πŸ“
Business Mailing Address (Initial Record) December 19, 2008

Registered at 1100 9TH AVE # M4-PA, SEATTLE, WA 981012756 (Tel: 2065836025)

πŸ‘€
Provider Name / Credentials (Initial Record) December 19, 2008

Recorded as CHRISTOPHER JACK, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2008

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 08, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093918641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: April 19, 2021
Sole Proprietor: No

Other Internal Medicine Providers in Bellevue

All Internal Medicine Providers in Bellevue

Mailing Address

11511 Ne 10th St

Bellevue, WA 980048578

Phone: 4255023000

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.