Individual provider Active NPI

Jacek Robert Wecowski, M.D.

  • Surgical Oncology Physician
  • Ocala, FL
National Provider Identifier
1962758938
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME141977 Issued in FL
Practice address
1500 SE Magnolia Ext Ste 205
Ocala, FL 34471-4461
Phone
(352) 629-1800
Fax
(352) 629-1888
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X ME141977 FL Primary
Surgery Physician 208600000X HSE26199 FL
Surgical Critical Care Physician 2086S0102X 50398 KY

Addresses

Primary practice location

1500 SE Magnolia Ext Ste 205
Ocala, FL 34471-4461

Mailing address

2405 SE 17TH St Ste 201
Ocala, FL 34471-9190
Phone (352) 690-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191121000760 FL Practitioner - General Surgery 5799087011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians

Practice addresses (Care Compare)

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1000

4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3000

4600 SW 46TH CT
Ocala, FL 34474-5782

4600 SW 46TH CT
Suite 250
Ocala, FL 34474-5754
Phone (352) 291-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
97.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
HSE26199FLMDSurgery Physician
ME141977FLMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC Surgery CurrentSince Sep 16, 2019 Accepting new patients
North Florida Surgical Associates LLC Past Accepting new patients

Locations

4600 SW 46th Ct
Ste 340
Ocala, FL 34474
Phone (352) 291-0239

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

1500 SE Magnolia Ext
Ste 205
Ocala, FL 34471
Phone (352) 629-1800

121 Lagrande Blvd
Ste B
The Villages, FL 32159
Phone (352) 291-0239

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jacek.wecowski@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1962758938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SE 17TH ST STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719190",
            "telephone_number": "352-690-2171",
            "fax_number": "352-690-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT STE 205",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714461",
            "telephone_number": "352-629-1800",
            "fax_number": "352-629-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECOWSKI",
        "first_name": "JACEK",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME141977",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "HSE26199",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KY",
            "license": "50398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.