JAROD DWAYNE SKOUBY M.D.
NPI 1124345939
Pediatrics in Granite City, IL
About Jarod Dwayne Skouby M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAROD DWAYNE SKOUBY M.D. (NPI 1124345939) is an individual pediatrics provider in Granite City, Illinois, licensed in Illinois (036132100) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jarod Dwayne Skouby M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jarod Skouby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
O Fallon, IL 62269
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 76 clinicians in this Medicare group
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 62040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jarod Skouby's NPI number?
The NPI number for Jarod Skouby is 1124345939. It was assigned to this individual provider in the NPPES registry on May 3, 2010.
Where is Jarod Skouby located?
Jarod Skouby practices at 3165 Myrtle Ave Suite 2, Granite City, IL 62040. The listed phone number is (618) 876-7500.
What is Jarod Skouby's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jarod Skouby enrolled in Medicare?
Yes. Jarod Skouby is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jarod Skouby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jarod Skouby reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (O Fallon, 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 Jarod Skouby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jarod Skouby accept?
Health plans from Anthem Blue Cross and Blue Shield list Jarod Skouby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jarod Skouby was last updated on August 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jarod Dwayne Skouby, M.D. · NPI 1124345939
Pediatrics physician in Granite City, Illinois. Individual provider, active in the CMS NPPES registry since May 3, 2010.
## Identity
- **NPI:** 1124345939 (Entity type: Individual)
- **Enumerated:** May 3, 2010
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036132100 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3165 MYRTLE AVE, SUITE 2, Granite City, IL 62040-5012
- **Phone:** (618) 876-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ssm Cardinal Glennon Childrens Hospital (NPI 1174577670, O Fallon, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1124345939) · Data from the CMS NPPES public registry.