Individual provider Active NPI

Jason J Jancosko, D.O., M.P.T.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Easton, MD
National Provider Identifier
1992939151
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
H75947 Issued in MD
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

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CF170008OtherMDCAREFIRST
4458265 00MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000699 MD Practitioner - Orthopedic Surgery 5395909626 Reassigns benefits to 1 organization

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
Shore Orthopedics, IncGroup PAC ID 8628367885, 29 clinicians

Practice addresses (Care Compare)

510 Idlewild Ave
Suite 200
Easton, MD 21601-3883
Phone 4108208226107

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
71.77
Promoting interoperability
97
Improvement activities
40
Cost
69.83

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
H75947MDMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopedics, Inc CurrentSince Jul 1, 2016 Accepting new patients
Shore Orthopedics, Inc. Sports Medicine CurrentSince Jul 1, 2016 Accepting new patients
The Sports Clinic Orthopaedic Medical Associates, Inc. PastSince Aug 1, 1991 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

  • Direct secure messaging: jjancosko483489@direct.umm.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.