DR. JACK Q II CAUSEY (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1790777142

DR. JACK Q II CAUSEY (MD) is a healthcare provider. based in Gulfport, Mississippi. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 11872 (MS). The NPI Number for DR. JACK Q II CAUSEY (MD) is 1790777142

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK Q II CAUSEY (MD)
NPI
1790777142
Phone
(228) 867-4000
Address
4500 13TH ST
Enumeration Date
20 August 2005
Last Update Date
7 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2288674000
Graduation Year
1985 (41 years ago)
PAC ID
5294733382
Group Practice PAC ID
3476550872
Professional Enrollment ID
I20061128000465
Address ID
MS395012515GU4500XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

118 PATHOLOGY in MS

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Provider Addresses for DR. JACK Q II CAUSEY (MD)

  • Memorial Hospital at Gulfport, 4500, 13th Street, Gulfport, Harrison County, Mississippi, 39501, United States

    GULFPORT, MS 395012515

    Phone: (228) 867-4000

    Fax: (228) 575-2380

    Type: Location

  • 19648 CHAMPION CIR

    GULFPORT, MS 395037668

    Phone: (601) 865-3653

    Fax: (228) 575-2380

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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: 2006-11-28

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
I20061128000465IPathologyMSTBD

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 complexity3,4611,430$0
88311Preparation of tissue for examination by removing any calcium present239217$0
88304Pathology examination of tissue using a microscope, moderately low complexity225200$0
88307Pathology examination of tissue using a microscope, moderately high complexity145114$0
88341Special stained specimen slides to examine tissue, each additional procedure6421$0
View full utilization report →

Insurance plans in this area (ZIP 39501)

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Provider's Procedures

DR. JACK Q II CAUSEY (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMS88307Pathology examination of tissue using a microscope, moderately high complexity147107
PATHOLOGYMS88312Special stained specimen slides to identify organisms including interpretation and report171153
PATHOLOGYMS88342Tissue or cell analysis by immunologic technique1817

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: 3476550872View full group profile
NameSpecialtyState
P A T H O L O G YMS
P A T H O L O G YMO
P A T H O L O G YTX

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Frequently asked questions

How do I look up DR. JACK Q II CAUSEY (MD) by NPI?
Use NPI 1790777142 when you need to reference DR. JACK Q II CAUSEY (MD) in forms, claims, or directories.
Is DR. JACK Q II CAUSEY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JACK Q II CAUSEY (MD)'s specialty in plain language?
Clinically, the directory lists DR. JACK Q II CAUSEY (MD) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JACK Q II CAUSEY (MD)'s primary listing?
We display Gulfport, Mississippi because that is what the record indicates for DR. JACK Q II CAUSEY (MD).
What if Gulfport, Mississippi seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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