JACK B COHEN (MD) – Anesthesiology Physician, NPI 1790775658

JACK B COHEN (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD055971L (PA). The NPI Number for JACK B COHEN (MD) is 1790775658

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JACK B COHEN (MD)
NPI
1790775658
Phone
(215) 456-1825
Address
101 E OLNEY AVE
Enumeration Date
24 October 2005
Last Update Date
13 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
6096521000
Graduation Year
1990 (36 years ago)
PAC ID
9739149626
Group Practice PAC ID
0648181578
Professional Enrollment ID
I20111220000331
Address ID
NJ082409102PO65XXXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,823 ANESTHESIOLOGY in PA

Provider Addresses for JACK B COHEN (MD)

  • Burger King, 101, East Olney Avenue, Olney, Philadelphia, Philadelphia County, Pennsylvania, 19120, United States

    STE 400

    PHILADELPHIA, PA 191202470

    Phone: (215) 456-1825

    Fax: (215) 456-5926

    Type: Mailing

  • BROAD AND VINE STS

    MS 310

    PHILA, PA 19102

    Phone: (215) 762-4312

    Fax: (215) 762-8656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $770.

Total Amount is formed as General ($770) + Research ($0) + Ownership ($0) = $770.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($751).

Total Amount

$770

General + Research + Ownership

Payments

6

Total payment records

General Amount

$770

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-12-20

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
I20111220000331IAnesthesiologyNJTBD

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
01402Anesthesia for procedure for total knee joint replacement134133$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)123123$0
64999Other procedure on nervous system121120$0
76942Ultrasonic guidance for needle placement121121$0
01214Anesthesia for total hip replacement8483$0
View full utilization report →

Insurance plans in this area (ZIP 19120)

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Provider's Procedures

JACK B COHEN (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA01402Anesthesia for open or endoscopic total knee joint replacement3029

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: 0648181578View full group profile
NameSpecialtyState
-NJ
Nurse PractitionerNJ
-PA
Critical Care (Intensivists), Internal MedicineNJ
A N E S T H E S I O L O G YNJ
Certified Registered Nurse Anesthetist (Crna)NJ
Cardiac Surgery, Thoracic Surgery, Thoracic SurgeryPA
Cardiac SurgeryNJ
-NJ
Certified Registered Nurse Anesthetist (Crna)NJ

Reviews

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Frequently asked questions

What NPI should I save for JACK B COHEN (MD)?
Save NPI 1790775658 if you need a stable reference for JACK B COHEN (MD).
Is JACK B COHEN (MD) active in the national directory?
JACK B COHEN (MD)'s public NPI profile is in an active state.
Can you summarize JACK B COHEN (MD)'s specialty in plain language?
Clinically, the directory lists JACK B COHEN (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JACK B COHEN (MD)?
The page summarizes Philadelphia, Pennsylvania for JACK B COHEN (MD); expand the address list for detail.
Is JACK B COHEN (MD) a real provider?
This page reflects official NPPES data for NPI 1790775658. Always confirm identity and privileges with the practice and licensing boards.

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