DR. JACK VICTOR CHANEY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1104803642

DR. JACK VICTOR CHANEY (M.D.) is a healthcare provider. based in Hollywood, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. ME59503 (FL). The NPI Number for DR. JACK VICTOR CHANEY (M.D.) is 1104803642

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK VICTOR CHANEY (M.D.)
NPI
1104803642
Phone
(954) 985-5921
Address
3501 JOHNSON ST
Enumeration Date
27 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9542652333
Graduation Year
1994 (32 years ago)
PAC ID
6709825284
Group Practice PAC ID
1557267473
Professional Enrollment ID
I20100522000004
Address ID
FL330215421HO3600XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

960 PATHOLOGY in FL

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Provider Addresses for DR. JACK VICTOR CHANEY (M.D.)

  • Memorial Regional Hospital, 3501, Johnson Street, West Hollywood, Hollywood, Broward County, Florida, 33021, United States

    HOLLYWOOD, FL 330215421

    Phone: (954) 985-5921

    Fax: (954) 985-3471

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100522000004IPathologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity186135$0
88341Special stained specimen slides to examine tissue, each additional procedure18432$0
88342Special stained specimen slides to examine tissue, initial procedure6859$0
88108Cell examination of specimen, concentration technique6556$0
88304Pathology examination of tissue using a microscope, moderately low complexity5748$0
View full utilization report →

Insurance plans in this area (ZIP 33021)

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Provider's Procedures

DR. JACK VICTOR CHANEY (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYFL88304Pathology examination of tissue using a microscope, moderately low complexity9082
PATHOLOGYFL88307Pathology examination of tissue using a microscope, moderately high complexity7150
PATHOLOGYFL88342Tissue or cell analysis by immunologic technique198166

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557267473View full group profile
NameSpecialtyState
P A T H O L O G YFL
P A T H O L O G YNE
P A T H O L O G YPA
P A T H O L O G YIL
P A T H O L O G YFL
P A T H O L O G YGA
P A T H O L O G YMS
P A T H O L O G YGA
P A T H O L O G YFL
P A T H O L O G YFL

Reviews

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Frequently asked questions

What is DR. JACK VICTOR CHANEY (M.D.)'s NPI number?
DR. JACK VICTOR CHANEY (M.D.)'s NPI is 1104803642 — the number used across U.S. healthcare to identify this provider.
Would DR. JACK VICTOR CHANEY (M.D.) appear as active to a payer?
You can treat DR. JACK VICTOR CHANEY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. JACK VICTOR CHANEY (M.D.)?
At a glance, DR. JACK VICTOR CHANEY (M.D.) is tied to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JACK VICTOR CHANEY (M.D.) located near Hollywood?
DR. JACK VICTOR CHANEY (M.D.) currently maps to Hollywood, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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