Omar Dwayne Jack, DO, PA-C
Student in an Organized Health Care Education/Training Program · Buffalo, NY
Omar Dwayne Jack, DO, PA-C is a student in an organized health care education/training program with a practice address in Buffalo, New York, and NPI 1144662909, issued on Jul 22, 2013. Check the license with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Omar Dwayne Jack
- Credential
- DO, PA-C
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program 390200000X
- License numbers
- 1109724 GA
MA062538 PA
Self-reported in NPPES; status is on the state search - Practice location
- 77 Goodell St Ste 550, Buffalo, NY 14203
- Phone
- (716) 829-6108
- Enumerated
- Jul 22, 2013
- Record last updated
- Mar 26, 2024
- Entity
- Type 1 · individual
8 nearest student in an organized health care education/training program records → All 37,241 in New York → Look up another NPI →
Also registered at 77 Goodell St Ste 550
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Alyssa AldridgeStudent in an Organized Health Care Education/Training Program1114613361
- Camille Applegate, MDStudent in an Organized Health Care Education/Training Program1710681721
- Marissa Catanzaro, MDStudent in an Organized Health Care Education/Training Program1073307138
- Anthony D'Auria, DOStudent in an Organized Health Care Education/Training Program1780146506
- Marco Dicaprio, MDAnesthesiology Physician1285254474
Verify Omar Dwayne Jack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 77.5 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).
Omar Dwayne Jack among 37,241 student in an organized health care education/training program records in New York
Omar Dwayne Jack, DO, PA-C is one of 37,241 student in an organized health care education/training program records with a practice address in New York. 31% 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 5% of them.
- NPI issued2013 · 5% of these records are older, 94% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileNo · 5% of these records are
- Record last updated2024 · 24% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,234 student in an organized health care education/training program records list a practice address in Buffalo
They are 1,234 of the 13,287 NPPES records with a practice address in Buffalo, and 37,241 student in an organized health care education/training program records in New York.
All 37,241 in New York → Every provider in Buffalo → Student in an Organized Health Care Education/Training Program nationwide →
The 8 student in an organized health care education/training program records with the nearest ZIP codes
- Janelle Baker, M.D.Buffalo, NY 142031508151416
- Torsten Behrens, M.D.Buffalo, NY 142031598907172
- Inderjit Bolla, M.D.Buffalo, NY 142031225384266
- Weiwei Chen, MD, PHDBuffalo, NY 142031174819205
- Alexandra HartBuffalo, NY 142031144511270
- Sirisa Kandel Amatya, MDBuffalo, NY 142031710111729
- Anitha Kumaaravel, M.D.Buffalo, NY 142031477809218
- Sam MaghamiBuffalo, NY 142031265794952
Common questions
What is Omar Dwayne Jack, DO, PA-C's NPI number?
Omar Dwayne Jack, DO, PA-C's National Provider Identifier (NPI) is 1144662909, issued on Jul 22, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Omar Dwayne Jack, DO, PA-C located?
The NPPES record lists a practice address at 77 Goodell St Ste 550, Buffalo, NY, 14203. Phone: (716) 829-6108. Providers update this record themselves, so call before visiting.
How can I verify Omar Dwayne Jack, DO, PA-C's license?
Search the New York board that licenses this profession; the NPPES record confirms identity only.
What is Omar Dwayne Jack, DO, PA-C's MIPS final score?
The 2023 MIPS final score is 77.5 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.