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DR. JEAN L WALSH D.O.
NPI 1164648614
Family Medicine in Hinckley, IL

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
97.28/100
CMS Quality Rating
741 E LINCOLN AVE, HINCKLEY, IL 60520(815) 286-9256 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2026, Feb 22, 2017 (2 updates tracked since 2017).

About Dr. Jean L Walsh D.o. NPPES

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

DR. JEAN L WALSH D.O. (NPI 1164648614) is an individual family medicine provider in Hinckley, Illinois, licensed in Illinois (036089648) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and maintains a secondary practice location in Loves Park.

NPPES Registry Identity

NPI1164648614
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEAN L WALSHCredential: D.O.
Location Address741 E LINCOLN AVEHinckley, IL 60520-9500
Mailing Address29624 Network PlChicago, IL 60673-1296 · (815) 971-2000 · Fax (815) 971-9795
Phone(815) 286-9256
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1164648614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036089648
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.
Also ListedSpecialistTaxonomy 174400000X · License 036089648 (IL)
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 036089648 (IL)
741 E LINCOLN AVE, Hinckley, IL 60520
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Other Names 1

Former Name (1)Dr. Jean L Huntington

Secondary Practice Location 1

Location 17702 N Alpine RdLoves Park, IL 61111-3107 · Phone (815) 971-2000 · Fax (815) 971-9795

Other Identifiers 3

Other02226675IL · Blue Cross Blue Shield
Medicaid036089648IL
Other04515143IL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jean L Walsh D.o. 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 ID2860455367
PECOS Enrollment IDI20070810000063
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 Reassignments

3

Medicare enrollment records show Jean Walsh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians
41 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Mercy Harvard Hospital Inc
45 mi
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
NPI 1427001445 (815) 943-5431
Mercy Health System Corporation
66 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630

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

Areas of Expertise CMS Part B claims 7

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.
203 services162 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.
157 services133 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.
71 services71 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
67 services22 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.
51 services22 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
34 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60520 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.78
Promoting Interoperability98.23
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers40 claims98 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims16 services$1.06 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$7.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$86.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SANDRA T LABAK DO
Family Medicine
741 E LINCOLN AVE
HINCKLEY, IL 60520
Dekalb County (815) 286-9256

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 Jean Walsh's NPI number?

The NPI number for Jean Walsh is 1164648614. It was assigned to this individual provider in the NPPES registry on April 17, 2007. The provider is also known as Dr. Jean L Huntington.

Where is Jean Walsh located?

Jean Walsh practices at 741 E Lincoln Ave, Hinckley, IL 60520. The listed phone number is (815) 286-9256.

What is Jean Walsh's specialty?

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

Is Jean Walsh enrolled in Medicare?

Yes. Jean Walsh 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.

Which organizations bill Medicare for Jean Walsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Walsh reassigns Medicare benefits to 3 organizations: Rockford Health Physicians (Rockford, IL), Mercy Harvard Hospital Inc (Harvard, IL) and Mercy Health System Corporation (Janesville, WI). Each 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 Jean Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Walsh accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list Jean Walsh 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.

Is Jean Walsh affiliated with any hospitals?

According to CMS data, Jean Walsh is affiliated with Saint Anthony Medical Center and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Jean Walsh was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.