Jack Diep, MD
Interventional Pain Medicine Physician · Lake Havasu City, AZ
Jack Diep, MD is an interventional pain medicine physician with a practice address in Lake Havasu City, Arizona, and NPI 1912333014, issued on Sep 20, 2013. Check the license (Arizona 55528, as entered in NPPES) on the Arizona Medical Board; the Medicare figures below come from public CMS files.
- Name
- Jack Diep
- Credential
- MD
- Primary taxonomy
- Interventional Pain Medicine Physician 208VP0014X
- License number
- 55528 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 1791 Mesquite Ave, Lake Havasu City, AZ 86403
- Phone
- (928) 505-5555
- Enumerated
- Sep 20, 2013
- Record last updated
- Sep 27, 2022
- Fax
- (928) 505-2877
- Medicaid ID
- 369607 AZ
- Medicare enrollment
- Enrolled (PECOS I20180706000866); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest interventional pain medicine physician records → All 68 in Arizona → Look up another NPI →
Also registered at 1791 Mesquite Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Zachary Fandrich, ATCAthletic Trainer1861905804
- Ryan Hopp, DPTPhysical Therapist1447069059
- Judith Horrocks, P.T.Physical Therapist1851539142
- Scott Horton, PTAPhysical Therapy Assistant1013265461
- Cheryl Kingsbury, MS, OTR/LOccupational Therapist1144539016
- Jennifer Molyneux, LPTPhysical Therapist1306479746
Verify Jack Diep in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 55528Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
25% more Medicare Part D claims than the average interventional pain medicine physician in 2024
2,876 Medicare Part D claims for 642 beneficiaries, against an average of 2,306 among the 2,100 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims. 1,547 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen686 claims
- Tramadol Hcl368 claims
- Gabapentin261 claims
- Oxycodone-Acetaminophen225 claims
- Oxycodone Hcl137 claims
- Tizanidine Hcl103 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 15 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $27,212.66
177 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 1,966 providers of this specialty with any payment received $3,889.53 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Lakeside Orthopedic Institute LLCLake Havasu City, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jack Diep among 68 interventional pain medicine physician records in Arizona
Jack Diep, MD is one of 68 interventional pain medicine physician records with a practice address in Arizona. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 81% of them.
- NPI issued2013 · 81% of these records are older, 15% newer
- In a Medicare fileYes · 91% of these records are
- In the CMS Doctors and Clinicians fileYes · 82% of these records are
- Graduated2013 · median 2005 among the 56 with a school on file
- Record last updated2022 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208VP0014X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Interventional Pain Medicine Physician providers in Arizona
There are 68 interventional pain medicine physician records in Arizona.
All 68 in Arizona → Every provider in Lake Havasu City → Interventional Pain Medicine Physician nationwide →
The 8 interventional pain medicine physician records with the nearest ZIP codes
- Prashanth Sirigere Manjunath, M.DKingman, AZ 864011629227616
- Nitish Aggarwal, MD/MBAFort Mohave, AZ 864261518457258
- Glenn Lipton, M.D.Cottonwood, AZ 863261336190016
- Taif Mukhdomi, M.D.Flagstaff, AZ 860011427583566
- Thaddeus Ray, D.O.Oro Valley, AZ 857551679535298
- Bradley Holt, M.D.Tucson, AZ 857411922230507
- Stephen ShillerTucson, AZ 857241316252315
- Kimberly Mulligan, MDTucson, AZ 857231225094857
Common questions
What is Jack Diep, MD's NPI number?
Jack Diep, MD's National Provider Identifier (NPI) is 1912333014, issued on Sep 20, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Jack Diep, MD located?
The NPPES record lists a practice address at 1791 Mesquite Ave, Lake Havasu City, AZ, 86403. Phone: (928) 505-5555. Providers update this record themselves, so call before visiting.
How can I verify Jack Diep, MD's license?
NPPES lists Arizona license number 55528, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jack Diep, MD prescribe under Medicare Part D?
In 2024, Jack Diep, MD had 2,876 Medicare Part D claims for 642 beneficiaries; the average among interventional pain medicine physician prescribers was 2,306. Part D covers Medicare prescriptions only.
What is Jack Diep, MD's MIPS final score?
The 2023 MIPS final score is 15 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.