Active NPI
Jason J Jancosko, D.O., M.P.T.
- Sports Medicine (Orthopaedic Surgery) Physician
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- H75947
- Practice address
- 510 Idlewild Ave
Easton, MD 21601-3881 - Phone
- (410) 820-8226
- Fax
- (410) 820-8405
- NPI assigned
- May 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | H75947 | MD | Primary |
Addresses
Primary practice location
510 Idlewild Ave
Easton, MD 21601-3881
Mailing address
510 Idlewild Ave
Easton, MD 21601-3881
Phone (410) 820-8226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CF170008 | Other | MD | CAREFIRST |
| 4458265 00 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 Idlewild Ave
Suite 200
Easton, MD 21601-3883
Phone 4108208226107
Hospital & facility affiliations
- Adoration Home Health
- University of MD Shore Medical Center at Easton
- University of MD Shore Medical Ctr at Chestertown
- Tidalhealth Peninsula Regional, Inc
- Tidalhealth Nanticoke, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 71.77
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 69.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 21 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 87 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H75947 | MD | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Orthopedics, Inc | Current | Accepting new patients | |
| Shore Orthopedics, Inc. | Sports Medicine | Current | Accepting new patients |
| The Sports Clinic Orthopaedic Medical Associates, Inc. | Past | Accepting new patients |
Locations
510 Idlewild Ave
Easton, MD 21601
Phone (410) 820-8226
510 Idlewild Ave
Ste 200
Easton, MD 21601
Phone (410) 820-8226
125 Shoreway Dr
Ste 270
Queenstown, MD 21658
Phone (410) 820-8226
Interoperability endpoints
- jjancosko483489@direct.umm.edu
- jasonjancosko@toc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Easton, MD
- NPI 1245694520
-
- Durable Medical Equipment & Medical Supplies
- Easton, MD
- NPI 1538515952
Sports Medicine
-
- Orthopaedic Surgery Physician
- Laguna Hills, CA
- NPI 1376603183
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cambridge, MD
- NPI 1811982069
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1992939151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 IDLEWILD AVE",
"city": "EASTON",
"state": "MD",
"postal_code": "216013881",
"telephone_number": "410-820-8226",
"fax_number": "410-820-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 IDLEWILD AVE",
"city": "EASTON",
"state": "MD",
"postal_code": "216013881",
"telephone_number": "410-820-8226",
"fax_number": "410-820-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANCOSKO",
"first_name": "JASON",
"middle_name": "J",
"credential": "D.O., M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-04",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MD",
"license": "H75947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "CF170008",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4458265 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.