Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jack D Vick, MD

Individual provider Family Medicine Physician · NPI 1538242219

Jack D Vick, MD is registered under Family Practice in Fort Sumner, New Mexico. Graduated from University of New Mexico School of Medicine in 1991, 35 years ago. Practices with De Baca Family Practice Clinic, a 3-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
35
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

546 N 10th St
Fort Sumner, NM 88119-0349 Not confirmed with CMS for 17 years — call before visiting
Phone: (575) 355-2414
Fax: (575) 355-7894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 92371 (NM)

Record details

NPI number1538242219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 19, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice De Baca Family Practice Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients258
Services billed 1,954 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Guadalupe County Hospital Hospital · Santa Rosa, NM · listed as Guadalupe County
  • Plains Regional Medical Center Hospital · Clovis, NM
  • Excelacare Home Health Home health agency · Clovis, NM

Colleagues at De Baca Family Practice Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Fort Sumner