DR. DOUGLAS JACKSON M.D.
NPI 1083612857
Emergency Medicine in Elgin, IL

Q: What is Douglas Jackson's NPI number?

The NPI number for Douglas Jackson is 1083612857. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Douglas Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Jackson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2005PECOS Enrolled

934 CENTER ST, ELGIN, IL 60120(847) 429-8750(847) 429-8978 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Douglas Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS JACKSON M.D. (NPI 1083612857) is an individual emergency medicine provider in Elgin, Illinois, licensed in Illinois (036057410) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083612857

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DOUGLAS JACKSONCredential: M.D.

Location Address934 CENTER STElgin, IL 60120-2125

Mailing Address150 Quail Ridge DrWestmont, IL 60559-6142 · (630) 321-8300 · Fax (630) 321-8750

Phone(847) 429-8750

Fax(847) 429-8978

Sole ProprietorNo

Enumeration DateJuly 14, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083612857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036057410

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

934 CENTER ST, Elgin, IL 60120

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Other Identifiers 7

Medicare ID-Type Unspecified209896IL · Group Locality 99

Medicaid03607410IL

Medicare UPINC44563IL

Medicare ID-Type UnspecifiedK10454IL · Locality 99

Medicare ID-Type UnspecifiedK10453IL · Locality 15

Other04532206IL · Blue Cross Blue Shield

Medicare ID-Type Unspecified209897IL · Group Locality 15

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.