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

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: November 01, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America - Illinois, LLP
2.6 mi
Emergency Medicine
2320 ROYAL BLVD, SUITE C
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Cepamerica Illinois LLP
  • 982 clinicians in this Medicare group
NPI 1720448491 (224) 783-5611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHOK MEHTA
Specialist
934 CENTER ST
ELGIN, IL 60120
Cook County (630) 377-6541
CEPAMERICA ILLINOIS LLP
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (224) 783-2735
GREATER ELGIN EMERGENCY SPECIALISTS LTD
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 742-9800
LAURA J SOSTAK CRNA
Nurse Anesthetist, Certified Registered
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 742-9800
MARY JUNG MD
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 429-8750
PRITI SINGH MD
Anesthesiology
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 742-9800
REGINA FOSTER NP
Nurse Practitioner
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 429-8750
DENNIS STEPANEK MD
Emergency Medicine
934 CENTER ST
ELGIN, IL 60120
Cook County (847) 429-8750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Douglas Jackson located?

Douglas Jackson practices at 934 Center St, Elgin, IL 60120. The listed phone number is (847) 429-8750.

What is Douglas Jackson's specialty?

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

Is Douglas Jackson enrolled in Medicare?

Yes. Douglas Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Jackson reassigns Medicare benefits to Cep America - Illinois, LLP (Elgin, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.