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LORI R JACKSON MD
NPI 1154533271
Family Medicine in Lake Forest, IL

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
915 S WAUKEGAN RD, LAKE FOREST, IL 60045(847) 234-8866(847) 234-4682 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Dec 21, 2017 (2 updates tracked since 2017).

About Lori R Jackson Md NPPES

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

LORI R JACKSON MD (NPI 1154533271) is an individual family medicine provider in Lake Forest, Illinois, licensed in Illinois (036119598) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Champaign.

NPPES Registry Identity

NPI1154533271
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORI R JACKSONCredential: MD
Location Address915 S WAUKEGAN RDLake Forest, IL 60045-2654
Mailing Address2650 Ridge Ave # 1223Evanston, IL 60201-1700 · (847) 982-3175 · Fax (847) 982-3394
Phone(847) 234-8866
Fax(847) 234-4682
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2005
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1154533271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036119598
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
915 S WAUKEGAN RD, Lake Forest, IL 60045
Open in Google Maps ↗

Secondary Practice Location 1

Location 11701 Curtis RdChampaign, IL 61822-9678 · Phone (217) 365-6201 · Fax (217) 326-4003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori R Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860555257
PECOS Enrollment IDI20090112000350
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services91 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 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 3

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

MRS. REBECCA GAMBLE HOUGLUM P.A.
Physician Assistant (Medical)
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866
DANIELA CVETKOVA PA
Physician Assistant
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866
JENNIFER DIMOND MD
Internal Medicine
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866

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 Lori Jackson's NPI number?

The NPI number for Lori Jackson is 1154533271. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Lori Jackson located?

Lori Jackson practices at 915 S Waukegan Rd, Lake Forest, IL 60045. The listed phone number is (847) 234-8866.

What is Lori Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lori Jackson enrolled in Medicare?

Yes. Lori Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lori Jackson affiliated with any hospitals?

According to CMS data, Lori Jackson is affiliated with Northshore University Healthsystem - Evanston Hospital and Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Lori Jackson was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.