Jack J Mocnik, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14168 Issued in OK

Practice address

4111 S Darlington Ave
Ste 700
Tulsa, OK 74135-6348

Phone

(918) 743-8943

Fax

(918) 388-1242

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

University of Kansas School of Med (KC/Wich/Sal), 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
• Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score

77.7 of 100Reported as group

Quality

91.25

Improvement activities

40

Cost

41.71

Merit-based Incentive Payment System (MIPS)

Final score

88.96 of 100Reported as group

Quality

78.58

Promoting interoperability

99

Improvement activities

40

Cost

77.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jackjr.mocnik@direct.stjohnhealthsystem.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Medicare reassignment Care Compare group
• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976
  Medicare reassignment NPD
• Grady Memorial Hospital

  • Anesthesiology Physician
  • Chickasha, OK
  • NPI 1750370268
  Medicare reassignment NPD
• Tulsa Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1871574509
  Medicare reassignment NPD
• Grady Memorial Hospital

  • Clinic/Center
  • Chickasha, OK
  • NPI 1659302115
  NPD
• Grady Memorial Hospital

  • Rural Health Clinic/Center
  • Tuttle, OK
  • NPI 1750715439
  NPD
• Radiological Imaging of Oklahoma, L.L.C.

  • Medical Specialty Clinic/Center
  • Owasso, OK
  • NPI 1588649305
  NPD (past)
• Radiology Consultants of Tulsa Inc

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1487641890
  NPD (past)
• Tulsa CT LLC

  • Radiology Clinic/Center
  • Tulsa, OK
  • NPI 1598710436
  NPD (past)
• Diagnostic Health Corporation

  • Physiological Laboratory
  • Orange Park, FL
  • NPI 1093764508
  NPD (past)
• Medfund LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Orlando, FL
  • NPI 1437152121
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1619950987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4939",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741590939",
            "telephone_number": "918-743-8943",
            "fax_number": "918-388-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 S DARLINGTON AVE",
            "address_2": "STE 700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356348",
            "telephone_number": "918-743-8943",
            "fax_number": "918-388-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCNIK",
        "first_name": "JACK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "14168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility One Transportation Inc.
• Mobility Plus LLC
• (Rose) Marion Mobley, MHR
• Emily Mobley, MHR, LPC
• Mindy Mobra
• Kyndal Rae Moctezuma, RN
• Megan J Moddelmog, MSPT
• Richard Young Modenbach, LCSW
• Allison Kate Modglin
• Jay Modi

• Diagnostic Radiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.